Individual
EDWARD WAN-JAE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3055 WILSHIRE BLVD STE 100, LOS ANGELES, CA 90010-1119
(213) 484-1000
Mailing address
3055 WILSHIRE BLVD STE 100, LOS ANGELES, CA 90010-1119
(213) 484-1000
(213) 484-2662
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
49176
MN
207W00000X
Ophthalmology Physician
Primary
A106255
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC083Z
MEDICARE INDIV. PTAN
CA
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
01
—
W2067
MEDICARE GROUP PTAN
CA
Enumeration date
05/03/2007
Last updated
01/06/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us