Individual
DONG IL LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
805 W LA VETA AVE, SUITE #103, ORANGE, CA 92868-3901
(714) 771-7722
Mailing address
805 W LA VETA AVE, SUITE #103, ORANGE, CA 92868-3901
(714) 771-7722
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A32850
CA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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