Organization
CALIFORNIA CARDIOTHORACIC ASSOCIATES MEDICAL GRP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY WONG LEE MD (GENERAL PARTNER)
(310) 603-6562
Entity
Organization
Contact information
Practice address
3630 E IMPERIAL HWY, SUITE 2101, LYNWOOD, CA 90262-2636
(310) 826-2073
(310) 826-9353
Mailing address
11500 SAN VICENTE BLVD, SUITE 409, LOS ANGELES, CA 90049-6218
(310) 826-2073
(310) 826-9353
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0078730
—
CA
Enumeration date
08/16/2006
Last updated
10/13/2009
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