Individual
JOANNA SONG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
39400 PASEO PADRE PKWY, FREMONT, CA 94538-2310
(510) 248-3075
Mailing address
30116 EIGENBRODT WAY, UNION CITY, CA 94587-1225
(510) 675-6746
(510) 675-5759
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
C176275
CA
2086X0206X
Surgical Oncology Physician
R2152
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374981401
—
TX
Enumeration date
03/28/2011
Last updated
03/21/2024
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