Organization
SAMUEL K. LEE, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL K. LEE M.D. (PRESIDENT)
(213) 413-2622
Entity
Organization
Contact information
Practice address
201 S ALVARADO ST, SUITE 622, LOS ANGELES, CA 90057-2320
(213) 413-2622
(213) 413-2922
Mailing address
P.O. BOX 1105, LA CANADA, CA 91012-1105
(213) 413-2622
(213) 413-2922
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G070695
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G070695
CALIFORNIA STATE LICENCE
CA
Enumeration date
07/08/2010
Last updated
07/08/2010
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