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General NPI Number Information
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NPI Number | 1487827929
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Entity Type | Organization
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Legal Business Name | JOHN C LEE MD INC
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Dates
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Enumeration Date | 04/04/2008
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 638 W DUARTE RD SUITE 3
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City | ARCADIA
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State | CA
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Zip | 91007-7616
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Country | US
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Telephone | 626-203-8049
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Fax | 626-348-8548
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Provider Business Mailing Address
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Address Line | 638 W DUARTE RD SUITE 3
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City | ARCADIA
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State | CA
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Zip | 91007-7616
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Country | US
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Telephone | 626-203-8049
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Fax | 626-282-7389
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN C LEE
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Credential | MD
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Telephone | 626-203-8049
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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 | A37292
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License Number State | CA
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