Individual
DANIEL WONIL LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 S BUENA VISTA ST, BURBANK, CA 91505-4809
(818) 847-6049
(818) 847-4842
Mailing address
111 FOUNDERS PLAZA, SUITE 400, EAST HARTFORD, CT 06108
(860) 289-3375
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
0101257982
VA
2085N0700X
Neuroradiology Physician
054764
CT
2085N0700X
Neuroradiology Physician
265600
MA
2085N0700X
Neuroradiology Physician
D0077237
MD
2085N0700X
Neuroradiology Physician
MD036942
DC
2085N0700X
Neuroradiology Physician
P1560
TX
2085R0202X
Diagnostic Radiology Physician
Primary
A68837
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A688370
—
CA
01
—
P00616353
RAILROAD MEDICARE
DC
Enumeration date
07/03/2006
Last updated
08/12/2020
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