Organization
PHILLIP H A LEE MD AND CENTER FOR ADVANCED DERMATOLOGY
Active
Other names
GLENDALE LASER AND DERMATOLOGY ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP H A LEE MD (PRESIDENT)
(818) 242-0035
Entity
Organization
Contact information
Practice address
1510 S CENTRAL AVE STE 470, GLENDALE, CA 91204-2514
(818) 242-0035
(818) 242-3628
Mailing address
1510 S CENTRAL AVE STE 470, GLENDALE, CA 91204-2514
(818) 242-0035
(818) 242-3628
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
09/16/2015
Last updated
02/19/2016
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