Organization
TIME MEDICAL BIOTECH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAE LEE MD (PRESIDENT)
(323) 852-3245
Entity
Organization
Contact information
Practice address
815 S ARDMORE AVE, LOS ANGELES, CA 90005-2597
(323) 852-3245
Mailing address
815 S ARDMORE AVE, LOS ANGELES, CA 90005-2597
(323) 852-3245
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A32086
CALIFORNIA MEDICAL BOARD
CA
Enumeration date
02/27/2019
Last updated
02/27/2019
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