Individual
JOSEPHINE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
415 ROLLING OAKS DR, THOUSAND OAKS, CA 91361-1031
(805) 778-1513
Mailing address
PO BOX 190, SIMI VALLEY, CA 93062-0190
(805) 522-5940
(805) 522-6401
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A69592
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A695920
—
CA
Enumeration date
05/12/2006
Last updated
04/10/2017
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