Organization
BRUCE B LEE, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE B LEE MD (CEO)
(800) 660-6030
Entity
Organization
Contact information
Practice address
1617 WESTCLIFF DR, NEWPORT BEACH, CA 92660-5524
(800) 660-6030
(310) 564-0316
Mailing address
PO BOX 940358, SIMI VALLEY, CA 93094-0358
(800) 660-6030
(310) 564-0316
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G490850
ANTHEM
CA
Enumeration date
03/27/2019
Last updated
03/27/2019
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