Individual
TAE Y LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 E SOUTH ST, # 110, LONG BEACH, CA 90805
(562) 630-7279
(562) 630-8828
Mailing address
3300 E SOUTH ST, # 110, LONG BEACH, CA 90805
(562) 630-7279
(562) 630-8828
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A50000
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0060560
—
CA
Enumeration date
07/14/2006
Last updated
09/20/2011
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