Individual
DR. RYAN H LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1411 E 31ST ST, QIC 22134, 3RD FLOOR, OAKLAND, CA 94602-1018
(510) 437-4089
(510) 437-5017
Mailing address
1411 E 31ST ST, QIC 22134, 3RD FLOOR, OAKLAND, CA 94602-1018
(510) 437-4089
(510) 437-5017
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A137563
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/29/2013
Last updated
10/30/2020
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