Organization
YELLOW CROSS MEDICAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YONG TAI LEE M.D. (PRESIDENT)
(323) 731-0681
Entity
Organization
Contact information
Practice address
903 CRENSHAW BLVD STE 302, LOS ANGELES, CA 90019-1967
(323) 731-0681
(323) 731-0832
Mailing address
3544 W. OLYMPIC BLVD. STE 100, LOS ANGELES, CA 90019-3500
(323) 731-0681
(323) 731-0832
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
G67974
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659687226
—
CA
Enumeration date
08/20/2010
Last updated
09/19/2019
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