Healthcare Provider Details

I. General information

NPI: 1376070193
Provider Name (Legal Business Name): ESTHER LEE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2017
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

295 TERRACINA BLVD
REDLANDS CA
92373-4847
US

IV. Provider business mailing address

295 TERRACINA BLVD
REDLANDS CA
92373-4847
US

V. Phone/Fax

Practice location:
  • Phone: 909-253-1450
  • Fax: 909-277-6816
Mailing address:
  • Phone: 909-253-1450
  • Fax: 909-277-6816

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA163228
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: