Healthcare Provider Details

I. General information

NPI: 1922070861
Provider Name (Legal Business Name): SANG LEE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2006
Last Update Date: 01/08/2025
Certification Date: 01/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

334 S PATTERSON AVE STE 209
SANTA BARBARA CA
93111-2400
US

IV. Provider business mailing address

334 S PATTERSON AVE STE 209
SANTA BARBARA CA
93111-2400
US

V. Phone/Fax

Practice location:
  • Phone: 805-563-6560
  • Fax:
Mailing address:
  • Phone: 805-563-6560
  • Fax: 805-563-3680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License Number2012-01135
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number223794
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License NumberC151928
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: