Individual
CHENG LIN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
277 RANCHEROS DR, SUITE 100, SAN MARCOS, CA 92069-2959
(866) 228-2236
(760) 471-0513
Mailing address
332 S JUNIPER ST, SUITE 100, ESCONDIDO, CA 92025-4941
(760) 291-6621
(760) 737-3430
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A 109363
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB241747
MEDICARE PTAN
CA
Enumeration date
09/11/2009
Last updated
12/01/2021
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