Individual
RANDALL ALEXANDER LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1516 SAN PABLO ST FL 5, LOS ANGELES, CA 90033-5313
(323) 276-3707
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 276-3707
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MT213204
PA
208800000X
Urology Physician
Primary
A175869
CA
208800000X
Urology Physician
MT213204
PA
Other
Enumeration date
05/17/2017
Last updated
07/05/2022
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