Organization
CHANG J. LEE, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANG J LEE MD. (OWNER)
(323) 562-3180
Entity
Organization
Contact information
Practice address
4811 FLORENCE AVE, BELL, CA 90201-4316
(323) 562-3180
(323) 562-4979
Mailing address
4811 FLORENCE AVE, 3203 EAST FLORENCE AVENUE, HUNTINGTON PARK, BELL, CA 90201-4316
(323) 562-3180
(323) 562-4979
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A36129
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A361290
—
CA
Enumeration date
01/09/2007
Last updated
08/22/2020
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