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General NPI Number Information
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NPI Number | 1427740828
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Entity Type | Organization
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Legal Business Name | DIANA LEE MD, PC
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Dates
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Enumeration Date | 05/23/2023
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2226 N STATE COLLEGE BLVD
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City | FULLERTON
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State | CA
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Zip | 92831-1361
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Country | US
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Telephone | 657-286-5375
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Fax |
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Provider Business Mailing Address
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Address Line | 2271 W MALVERN AVE # 85
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City | FULLERTON
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State | CA
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Zip | 92833-2106
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Country | US
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Telephone | 657-286-5375
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CHIEF EXECUTIVE OFFICER
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Name | DR. DIANA LEE
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Credential | MD
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Telephone | 657-286-5375
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS0132X
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Taxonomy Name | Ophthalmologic Surgery Clinic/Center
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License Number |
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License Number State |
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