Individual
JOHN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
4358 CHEVY CHASE DR STE 300, LA CANADA FLINTRIDGE, CA 91011-3203
(626) 449-7000
(818) 301-7443
Mailing address
115 W CALIFORNIA BLVD, PASADENA, CA 91105-3005
(626) 449-7000
(818) 301-7443
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A066604
CA
2084P0800X
Psychiatry Physician
Primary
A06604
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165302406
—
TX
Enumeration date
06/15/2006
Last updated
04/07/2022
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