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General NPI Number Information
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NPI Number | 1013352897
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Entity Type | Individual
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Provider Name | YOUN KYUNG LEE MD
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Gender | Female
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Dates
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Enumeration Date | 05/07/2013
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Last Update Date | 12/17/2021
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Provider Practice Location Address
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Address Line | 1500 SAN PABLO ST
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City | LOS ANGELES
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State | CA
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Zip | 90033-5313
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Country | US
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Telephone | 323-442-8541
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Fax | 323-442-8755
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Provider Business Mailing Address
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Address Line | 1800 HARRISON ST FL 7
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City | OAKLAND
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State | CA
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Zip | 94612-3466
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Country | US
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Telephone | 510-625-4101
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | MT203404
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | A133202
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License Number State | CA
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