Organization
BRIAN M LEE MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN LEE (PHYSICIAN)
(310) 763-7504
Entity
Organization
Contact information
Practice address
3625 MARTIN LUTHER KING BLVD, SUITE #5, LYNWOOD, CA 90262
(310) 763-7504
(310) 763-7573
Mailing address
3625 MARTIN LUTHER KING BLVD, SUITE #5, LYNWOOD, CA 90262
(310) 763-7504
(310) 763-7573
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A86438
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518126259
—
CA
Enumeration date
06/06/2008
Last updated
09/16/2009
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