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General NPI Number Information
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NPI Number | 1932105913
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Entity Type | Individual
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Provider Name | STEPHEN LEE MD
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Gender | Male
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Dates
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Enumeration Date | 06/23/2005
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Last Update Date | 11/21/2019
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Provider Practice Location Address
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Address Line | 10833 LE CONTE AVE STE AL-135
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City | LOS ANGELES
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State | CA
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Zip | 90095-3075
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Country | US
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Telephone | 310-825-2071
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Fax | 310-794-4161
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Provider Business Mailing Address
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Address Line | 5767 W CENTURY BLVD SUITE 400
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City | LOS ANGELES
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State | CA
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Zip | 90045-5631
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Country | US
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Telephone |
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | A21288
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207ZH0000X
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Taxonomy Name | Hematology (Pathology) Physician
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License Number | A21288
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207ZI0100X
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Taxonomy Name | Immunopathology Physician
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License Number | A21288
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | A21288
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | A21288
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License Number State | CA
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