Individual
DR. RANDALL J. LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 PARNASSUS AVE SUITE 204, SAN FRANCISCO, CA 94143-0001
(415) 476-5706
(415) 476-6260
Mailing address
1635 DIVISADERO STREET, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G58505
CA
207RC0000X
Cardiovascular Disease Physician
G58505
CA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
G58505
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G585050
—
CA
Enumeration date
06/07/2006
Last updated
04/24/2017
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