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Individual

KYONG-JIN LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Mailing address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000

Taxonomy

Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
0101265554
VA
207RA0002X
Adult Congenital Heart Disease Physician
0101265554
VA
207RI0011X
Interventional Cardiology Physician
0101265554
VA
208000000X
Pediatrics Physician
C170504
CA
2080A0000X
Pediatric Adolescent Medicine Physician
0101265554
VA
2080P0202X
Pediatric Cardiology Physician
0101265554
VA
2080P0202X
Pediatric Cardiology Physician
Primary
C170504
CA

Other

Enumeration date
11/22/2018
Last updated
04/11/2024
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