Individual
DR. CHARLES KYUNG CHUL LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1545 PINE ST., UNIT 101, SAN FRANCISCO, CA 94109-1078
(415) 933-8330
(415) 933-8292
Mailing address
1545 PINE ST., UNIT 101, SAN FRANCISCO, CA 94109-4682
(415) 933-8330
(415) 933-8292
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A82918
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A829180
BLUE SHIELD
CA
05
—
00A829180
—
CA
Enumeration date
11/09/2005
Last updated
08/24/2021
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