Individual
DR. YONG TAI LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
903 CRENSHAW BLVD STE 302, LOS ANGELES, CA 90019-1967
(323) 731-0681
(323) 731-0832
Mailing address
903 CRENSHAW BLVD STE 302, LOS ANGELES, CA 90019-1967
(323) 731-0681
(323) 731-0832
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G67974
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G679740
—
CA
01
—
1972607364
NPI
CA
Enumeration date
09/07/2006
Last updated
09/19/2019
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