Organization
GARY LEE OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY A LEE O.D. (OPTOMETRIST)
(626) 442-6620
Entity
Organization
Contact information
Practice address
10614 LOWER AZUSA RD, EL MONTE, CA 91731-1210
(626) 442-6620
(626) 442-5803
Mailing address
10614 LOWER AZUSA RD, EL MONTE, CA 91731-1210
(626) 442-6620
(626) 442-5803
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OP5893T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GSD005670
—
CA
Enumeration date
04/14/2008
Last updated
04/14/2008
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