Individual
KIMBERLY DONGHEE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
8860 CENTER DR STE 400, LA MESA, CA 91942-7003
(619) 229-1995
(619) 229-1109
Mailing address
8860 CENTER DR STE 400, LA MESA, CA 91942-7003
(619) 229-1995
(619) 229-1109
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95002694
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
724057
CA LICENSE
CA
Enumeration date
07/26/2015
Last updated
02/28/2019
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