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NPI 1245103126

NPI 1245103126 : HYUNJU LEE MD A PROFESSIONAL CORPORATION : ANAHEIM, CA

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General NPI Number Information
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    NPI Number           |    1245103126
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    Entity Type          |    Organization 
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    Legal Business Name  |    HYUNJU LEE MD A PROFESSIONAL CORPORATION 
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Dates
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    Enumeration Date     |    09/26/2025
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    Last Update Date     |    12/04/2025
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Provider Practice Location Address
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    Address Line         |    1211 W LA PALMA AVE STE 702 
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    City                 |    ANAHEIM
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    State                |    CA
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    Zip                  |    92801-2814
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    Country              |    US
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    Telephone            |    714-533-0300
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    Fax                  |    714-533-0700
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Provider Business Mailing Address
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    Address Line         |    1211 W LA PALMA AVE STE 702 
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    City                 |    ANAHEIM
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    State                |    CA
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    Zip                  |    92801-2814
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    Country              |    US
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    Telephone            |    714-533-0300
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    Fax                  |    714-533-0700
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Authorized Official
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    Title or Position    |    PHYSICIAN
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    Name                 |     HYUNJU  LEE 
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    Credential           |    MD
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    Telephone            |    657-217-9191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207RE0101X
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    Taxonomy Name        |    Endocrinology, Diabetes & Metabolism Physician
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    License Number       |    
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    License Number State |    
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