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General NPI Number Information
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NPI Number | 1164833018
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Entity Type | Individual
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Provider Name | MICHAEL MING-YUN LEE D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/14/2014
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 5353 G ST
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City | CHINO
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State | CA
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Zip | 91710-5249
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Country | US
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Telephone | 909-590-3700
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Fax |
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Provider Business Mailing Address
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Address Line | 16155 SIERRA LAKES PKWY STE 160-740
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City | FONTANA
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State | CA
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Zip | 92336-1244
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Country | US
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Telephone | 626-335-1919
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Fax | 249-493-6052
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 20A14526
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 20A14526
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License Number State | CA
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