Individual
DR. JAMES S. LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19950 RINALDI ST, SUITE 300, PORTER RANCH, CA 91326-4141
(818) 271-2400
(818) 271-2401
Mailing address
19950 RINALDI ST, SUITE 300, PORTER RANCH, CA 91326-4141
(818) 271-2400
(818) 360-4204
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A90106
CA
207RI0011X
Interventional Cardiology Physician
A90106
CA
207UN0901X
Nuclear Cardiology Physician
A90106
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205008950
CALIFORNIA CHILDREN'S SERVICES (CCS PANELED) PROGRAM
CA
05
—
1205008950
—
CA
Enumeration date
04/01/2008
Last updated
02/06/2014
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