Healthcare Provider Details
I. General information
NPI: 1821907023
Provider Name (Legal Business Name): SML ANES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1720 E CESAR E CHAVEZ AVE
LOS ANGELES CA
90033-2414
US
IV. Provider business mailing address
8605 SANTA MONICA BLVD # 932922
WEST HOLLYWOOD CA
90069-4109
US
V. Phone/Fax
- Phone: 323-268-5000
- Fax:
- Phone: 949-910-1883
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SEUNG MYUNG
LEE
Title or Position: OWNER
Credential: DO
Phone: 949-910-1883