Individual
ALAN C LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1304 15TH STREET, #400, SANTA MONICA, CA 90404
(310) 395-9442
Mailing address
5767 W CENTURY BLVD, STE 200, LOS ANGELES, CA 90045-5631
(310) 395-9442
(310) 434-9101
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A71069
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A710690
—
CA
Enumeration date
08/11/2006
Last updated
01/22/2010
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