Individual
DR. TAE YOUNG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4234 RIVERWALK PKWY, RIVERSIDE, CA 92505-8510
(518) 262-5374
Mailing address
4234 RIVERWALK PKWY STE 230, RIVERSIDE, CA 92505-3312
(951) 781-3672
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
C165290
CA
2086S0102X
Surgical Critical Care Physician
Primary
C165290
CA
2086S0127X
Trauma Surgery Physician
C165290
CA
Other
Enumeration date
08/26/2008
Last updated
01/27/2020
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