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General NPI Number Information
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NPI Number | 1710054606
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Entity Type | Individual
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Provider Name | CHIN LEE MD
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Gender | Male
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 07/08/2019
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Provider Practice Location Address
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Address Line | 1403 LOMITA BLVD STE 100
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City | HARBOR CITY
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State | CA
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Zip | 90710
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Country | US
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Telephone | 310-784-5800
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Fax |
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Provider Business Mailing Address
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Address Line | 2550 W MAIN ST
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City | ALHAMBRA
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State | CA
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Zip | 91801-1694
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Country | US
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Telephone | 626-457-6900
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A39014
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License Number State | CA
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