Organization
WELLCARE MEDICAL GROUP
Active
Other names
Wellcare LA Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD W LEE MD (PHYSICIAN)
(562) 531-0015
Entity
Organization
Contact information
Practice address
16415 S COLORADO AVENUE, SUITE 208, PARAMOUNT, CA 90723-5054
(562) 531-0015
(562) 531-4856
Mailing address
16415 S COLORADO AVENUE, SUITE 208, PARAMOUNT, CA 90723-5054
(562) 531-0015
(562) 531-4856
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
CA
207RN0300X
Nephrology Physician
Primary
A85452
CA
Other
Enumeration date
10/24/2011
Last updated
01/31/2013
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