Organization
EDWIN R LEE MD INC
Active
Organization
EDWIN R LEE MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN R LEE MD (PRESIDENT)
(949) 588-2190
Entity
Organization
Contact information
Practice address
5 HOLLAND STE 101, IRVINE, CA 92618-2568
(949) 588-2190
(949) 588-2199
Mailing address
361 HOSPITAL RD STE 124, NEWPORT BEACH, CA 92663-3521
(949) 631-5024
(949) 588-2199
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G58886
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710996160
—
CA
Enumeration date
12/01/2009
Last updated
12/01/2009
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