Healthcare Provider Details

I. General information

NPI: 1972576841
Provider Name (Legal Business Name): WEI HUANG-LEE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2006
Last Update Date: 04/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 CONGRESS ST SUITE 208
PASADENA CA
91105-3023
US

IV. Provider business mailing address

145 VISTA AVE SUITE 104
PASADENA CA
91107-3607
US

V. Phone/Fax

Practice location:
  • Phone: 626-792-2166
  • Fax: 626-795-0740
Mailing address:
  • Phone: 626-397-8335
  • Fax: 626-397-8350

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA79966
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: