Individual
DR. PAUL STEPHEN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
113 WATERWORKS WAY, SUITE 155, IRVINE, CA 92618-3167
(949) 612-9090
(949) 612-9091
Mailing address
113 WATERWORKS WAY, SUITE 155, IRVINE, CA 92618-3167
(949) 612-9090
(949) 612-9091
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A79889
CA
207RG0100X
Gastroenterology Physician
Primary
A79889
CA
207RI0008X
Hepatology Physician
A79889
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A79889
CALIFORNIA MEDICAL LIC
CA
01
—
B836611
KAISER NATIONAL USER ID
CA
Enumeration date
01/09/2007
Last updated
10/29/2015
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