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NPI Code Detail

MEDICARE: DR. HANJOO LEE MD

MEDICARE:  DR. HANJOO  LEE  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2208600000XSurgery PhysicianA173331CA

General Provider Information

NPI Number : 1386030583
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HANJOO LEE MD
Provider Business Mailing Address
First Line : 1000 WEST CARSON STREET
Second Line : BUILDING 1 EAST, BOX 25
City : TORRANCE
State : CA
Zip : 90502
Country : US
Telephone Number : 424-306-8099
Fax Number :
Provider Business Practice Location Address
First Line : 1000 W CARSON ST BLDG 1
Second Line :
City : TORRANCE
State : CA
Zip : 90502-2059
Country : US
Telephone Number : 424-306-8099
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2015
Last Update Date : 03/14/2022

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Directions to “ DR. HANJOO LEE MD” Practice Location

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