Individual
DR. EDMOND LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
500 N GARFIELD AVE STE 305, MONTEREY PARK, CA 91754-1242
(626) 703-4188
(213) 617-3144
Mailing address
500 N GARFIELD AVE STE 305, MONTEREY PARK, CA 91754-1242
(626) 703-4188
(213) 617-3144
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4038
CA
213EP1101X
Primary Podiatric Medicine Podiatrist
E4038
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
E4038
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E40380
—
CA
01
—
P00098261
PALMETTO GBA
—
Enumeration date
06/30/2006
Last updated
01/17/2021
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