Organization
GLEN-WHITE UROLOGICAL MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SZE-CHING LEE M.D. (PRESIDENT)
(818) 242-1144
Entity
Organization
Contact information
Practice address
1560 E CHEVY CHASE DR, #325, GLENDALE, CA 91206-4140
(818) 242-1144
(818) 242-6948
Mailing address
1560 E CHEVY CHASE DR, #325, GLENDALE, CA 91206-4140
(818) 242-1144
(818) 242-6948
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0065131
—
CA
Enumeration date
01/07/2008
Last updated
10/04/2017
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