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General NPI Number Information
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NPI Number | 1154043727
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Entity Type | Organization
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Legal Business Name | DAVID LEE, M.D., INC
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Dates
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Enumeration Date | 09/12/2022
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Last Update Date | 09/12/2022
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Provider Practice Location Address
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Address Line | 5471 LA PALMA AVE STE 205
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City | LA PALMA
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State | CA
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Zip | 90623-1733
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Country | US
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Telephone | 626-399-1333
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Fax |
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Provider Business Mailing Address
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Address Line | 2571 PLAZA DEL AMO UNIT 115
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City | TORRANCE
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State | CA
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Zip | 90503-8968
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Country | US
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Telephone | 626-399-1333
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAVID LEE
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Credential | MD
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Telephone | 626-399-1333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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