Organization
DAE YONG LEE M.D. A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAE YONG LEE M.D. (PRESIDENT)
(323) 433-0246
Entity
Organization
Contact information
Practice address
2131 W 3RD ST, LOS ANGELES, CA 90057-1901
(213) 484-5525
(213) 413-6338
Mailing address
101 S 1ST ST, 1000, BURBANK, CA 91502-1938
(818) 845-6206
(818) 845-9774
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A311520
—
CA
01
—
00A331520
BLUE SHIELD
CA
Enumeration date
08/05/2006
Last updated
08/22/2020
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