Organization
DIGESTIVE DISEASE CONSULTANTS OF ORANGE COUNTY INC
Active
Organization
DIGESTIVE DISEASE CONSULTANTS OF ORANGE COUNTY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL S LEE MD (OWNER)
(949) 612-9090
Entity
Organization
Contact information
Practice address
113 WATERWORKS WAY, SUITE 155, IRVINE, CA 92618-3167
(949) 612-9090
(949) 612-9091
Mailing address
PO BOX 53366, IRVINE, CA 92619-3366
(949) 612-9090
(949) 612-9091
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A79889
CA
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B836611
KAISER NATIONAL USER ID
CA
Enumeration date
06/06/2008
Last updated
10/22/2019
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