Individual
KOK W LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
208 N GARFIELD AVE, MONTEREY PARK, CA 91754-1705
(626) 288-8029
(626) 288-7056
Mailing address
208 N GARFIELD AVE, MONTEREY PARK, CA 91754-1705
(626) 288-8029
(626) 288-7056
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
C43200
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C432000
—
CA
01
—
W8705D
MEDICARE GROUP PTAN
CA
01
—
WC43200B
MEDICARE INDIVIDUAL PTAN
CA
Enumeration date
10/06/2006
Last updated
12/20/2007
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