Individual
PAMELA JEAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
3610 ATLANTIC AVE, LONG BEACH, CA 90807-3418
(562) 424-8814
(562) 427-2604
Mailing address
PO BOX 17369, LONG BEACH, CA 90807-7369
(562) 424-8814
(562) 427-2604
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
PA17020
CA
363A00000X
Physician Assistant
WPA17020
CA
363AM0700X
Medical Physician Assistant
Primary
WPA17020
CA
Other
Enumeration date
07/05/2006
Last updated
08/27/2014
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