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General NPI Number Information
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NPI Number | 1134279995
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Entity Type | Individual
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Provider Name | OLIVIA L LEE M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 850 HEALTH SCIENCES RD
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City | IRVINE
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State | CA
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Zip | 92617-3058
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Country | US
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Telephone | 949-824-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 200 S MANCHESTER AVE STE 300
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City | ORANGE
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State | CA
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Zip | 92868-3219
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Country | US
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Telephone | 714-456-2986
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | A108933
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | A108933
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207WX0108X
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Taxonomy Name | Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
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License Number | A108933
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License Number State | CA
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