Organization
BRYAN X LEE MD A PROFESSIONAL MEDICAL CORPORATION
Active
Other names
Southern California Center for Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN X LEE MD (PRESIDENT)
(909) 593-1002
Entity
Organization
Contact information
Practice address
250 W BONITA AVE, SUITE 160, POMONA, CA 91767-1863
(909) 593-1002
(888) 257-3888
Mailing address
PO BOX 2240, WALNUT, CA 91788-2240
(909) 593-1002
(909) 593-1004
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
A91137
CA
207R00000X
Internal Medicine Physician
A96828
CA
208VP0014X
Interventional Pain Medicine Physician
Primary
A91137
CA
Other
Enumeration date
01/30/2011
Last updated
02/16/2023
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