Healthcare Provider Details

I. General information

NPI: 1801217393
Provider Name (Legal Business Name): MONICA LEE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/30/2013
Last Update Date: 12/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

356 7TH ST
SAN FRANCISCO CA
94103-4030
US

IV. Provider business mailing address

356 7TH ST
SAN FRANCISCO CA
94103-4030
US

V. Phone/Fax

Practice location:
  • Phone: 415-487-5524
  • Fax: 415-431-4628
Mailing address:
  • Phone: 415-487-5524
  • Fax: 415-431-4628

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: