Organization
MICHAEL WOMEN'S MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT S LEE D.O. (OWNER/MEDICAL DIRECTOR)
(909) 623-3591
Entity
Organization
Contact information
Practice address
920 N GAREY AVE, POMONA, CA 91767-4618
(909) 623-3591
(909) 623-3504
Mailing address
920 N GAREY AVE, POMONA, CA 91767-4618
(909) 623-3591
(909) 623-3504
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0076350
—
CA
Enumeration date
08/08/2006
Last updated
07/22/2009
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