Individual
BOO W LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2040 FOREST AVENUE, SUITE #3, SAN JOSE, CA 95128
(408) 977-1310
(408) 977-0140
Mailing address
2040 FOREST AVENUE, SUITE #3, SAN JOSE, CA 95128
(408) 977-1310
(408) 977-0140
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A383P3
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A383930
—
CA
Enumeration date
10/26/2006
Last updated
07/08/2007
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