MEDICARE: BYONG-WHA ESTHER 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
1	207R00000X	Internal Medicine Physician	G68100	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881613412
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BYONG-WHA ESTHER LEE MD

Provider Business Mailing Address
First Line	:	PO BOX 9602
Second Line	:
City	:	MISSION HILLS
State	:	CA
Zip	:	91346-9602
Country	:	US
Telephone Number	:	818-837-5691
Fax Number	:	818-792-4793

Provider Business Practice Location Address
First Line	:	14550 SOLEDAD CANYON RD
Second Line	:
City	:	CANYON COUNTRY
State	:	CA
Zip	:	91387-2200
Country	:	US
Telephone Number	:	661-250-5244
Fax Number	:	661-251-7308

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

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	07/02/2020

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