Individual
ANNA E LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3998 VISTA WAY STE D, OCEANSIDE, CA 92056-4514
(760) 295-1995
(760) 295-1118
Mailing address
3998 VISTA WAY STE D, OCEANSIDE, CA 92056-4514
(760) 295-1995
(760) 295-1118
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G 79537
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G 79537
STATE LICENSE
CA
Enumeration date
02/06/2006
Last updated
01/21/2021
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