Individual
DR. DIANA DANTIAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10624 S EASTERN AVE STE A-955, HENDERSON, NV 89052-2982
(702) 407-7700
(702) 407-7016
Mailing address
10624 S EASTERN AVE STE A-955, HENDERSON, NV 89052-2982
(702) 407-7700
(702) 407-7016
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
15282
NV
208M00000X
Hospitalist Physician
A85417
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0884006
CIGNA
CA
01
—
111371
HEALTH NET
CA
01
—
1918273
GREAT WEST
CA
01
—
253808
INTERPLAN
CA
01
—
2547985
UNITED HEALTHCARE
CA
01
—
5632785
FIRST HEALTH
CA
01
—
7394657
AETNA
CA
01
—
90197387
PACIFICARE
CA
01
—
A85417
BLUE CROSS
CA
01
—
MCMG413400
WESTERN HEALTH ADVANTAGE
CA
Enumeration date
09/20/2006
Last updated
05/02/2018
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