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Organization

BRYAN S. LEE MD INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIANE DOONAN (OFFICE ADMINISTRATOR)
(650) 948-6506
Entity
Organization

Contact information

Practice address
762 ALTOS OAKS DRIVE, STE 1, LOS ALTOS, CA 94024-5435
(650) 948-9123
(650) 948-0563
Mailing address
762 ALTOS OAKS DR STE 1, LOS ALTOS, CA 94024-5435
(650) 948-9123
(650) 948-0563

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
136126
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1437336609
NPI TYPE 1
Enumeration date
06/08/2017
Last updated
07/21/2022
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