MEDICARE: DR. NATALIE J LEE M.D.

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
1	207L00000X	Anesthesiology Physician	G71623	CA

General Provider Information

NPI Number	:	1437165503
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NATALIE J LEE M.D.

Provider Business Mailing Address
First Line	:	2401 E ORANGEBURG AVE
Second Line	:	SUITE 675-312
City	:	MODESTO
State	:	CA
Zip	:	95355-3351
Country	:	US
Telephone Number	:	209-403-0702
Fax Number	:	209-551-2480

Provider Business Practice Location Address
First Line	:	2200 W 7TH ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90057-4002
Country	:	US
Telephone Number	:	213-637-2539
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	02/06/2017

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