Healthcare Provider Details

I. General information

NPI: 1801715909
Provider Name (Legal Business Name): OBEON MEDICAL TEXAS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 11TH AVE
NEW YORK NY
10001-1394
US

IV. Provider business mailing address

535 5TH AVE FL 4
NEW YORK NY
10017-8020
US

V. Phone/Fax

Practice location:
  • Phone: 818-515-5840
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BRIAN HEE SANG LEE
Title or Position: PRESIDENT
Credential: MD
Phone: 818-515-5840