Individual
DANIEL T LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1920 COLORADO AVE, SANTA MONICA, CA 90404-3414
(310) 319-4700
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A51175
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A511750
MEDICAL PPIN #
CA
Enumeration date
07/26/2006
Last updated
01/13/2025
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