Organization
LEE DERMATOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER JIN LEE M.D. (PRESIDENT)
(415) 982-9877
Entity
Organization
Contact information
Practice address
929 CLAY ST STE 105, SAN FRANCISCO, CA 94108-1568
(415) 982-9877
(415) 982-5523
Mailing address
929 CLAY ST STE 105, SAN FRANCISCO, CA 94108-1568
(415) 982-9877
(415) 982-5523
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A120644
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609215482
—
CA
Enumeration date
05/14/2014
Last updated
05/14/2014
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