Individual
DR. GI-HYUNG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1115 S SUNSET AVE, WEST COVINA, CA 91790-3940
(626) 813-9988
(626) 813-0075
Mailing address
PO BOX 635, WEST COVINA, CA 91793-0635
(626) 813-9988
(626) 813-0075
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G72584
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G725840
BCBS
CA
05
—
00G725840
—
CA
01
—
P00617444
RR MEDICARE
CA
01
—
WG72584
MEDICARE PTAN
CA
Enumeration date
06/17/2006
Last updated
10/01/2008
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