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NPI Code Detail

MEDICARE: ASHEENA LEE M.D.

MEDICARE: ASHEENA 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
12084P0800XPsychiatry PhysicianA141551CA

General Provider Information

NPI Number : 1538425772
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHEENA LEE M.D.
Provider Business Mailing Address
First Line : 444 W OCEAN BLVD STE 800
Second Line :
City : LONG BEACH
State : CA
Zip : 90802-4529
Country : US
Telephone Number : 888-628-0235
Fax Number :
Provider Business Practice Location Address
First Line : 444 W OCEAN BLVD STE 800
Second Line :
City : LONG BEACH
State : CA
Zip : 90802-4529
Country : US
Telephone Number : 888-628-0235
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2012
Last Update Date : 12/27/2018

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