Organization
SOLEDAD O LEE MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOLEDAD O LEE MD (OWNER)
(714) 828-8400
Entity
Organization
Contact information
Practice address
6888 LINCOLN AVE, SUITE M, BUENA PARK, CA 90620-4107
(714) 828-8400
(714) 828-0202
Mailing address
6888 LINCOLN AVE, SUITE M, BUENA PARK, CA 90620-4107
(714) 828-8400
(714) 828-0202
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
A 35051
CA
Other
Enumeration date
10/05/2006
Last updated
05/29/2009
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