MEDICARE: LING LEE N.P

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	363LF0000X	Family Nurse Practitioner	19458	CA

General Provider Information

NPI Number	:	1538454277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LING LEE N.P

Provider Business Mailing Address
First Line	:	867 N 16TH ST
Second Line	:
City	:	MONTEBELLO
State	:	CA
Zip	:	90640-2464
Country	:	US
Telephone Number	:	626-688-5932
Fax Number	:

Provider Business Practice Location Address
First Line	:	320 S GARFIELD AVE STE 118
Second Line	:
City	:	ALHAMBRA
State	:	CA
Zip	:	91801-3887
Country	:	US
Telephone Number	:	626-773-3388
Fax Number	:

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

Provider Enumeration Date	:	06/10/2011
Last Update Date	:	03/31/2016

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