Organization
GARY C. LEE,PH.D,M.D.INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY CHEUKMAN LEE PH.D,M.D. (PRESIDENT)
(949) 733-1336
Entity
Organization
Contact information
Practice address
33 CREEK RD, SUITE C380, IRVINE, CA 92604-4791
(949) 733-1336
(949) 733-3387
Mailing address
33 CREEK RD, SUITE C380, IRVINE, CA 92604-4791
(949) 733-1336
(949) 733-3387
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A055074
CA
Other
Enumeration date
10/02/2007
Last updated
10/02/2007
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