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General NPI Number Information
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NPI Number | 1962665349
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Entity Type | Organization
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Legal Business Name | SEUNG MIN LEE MEDICAL INC
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Dates
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Enumeration Date | 07/07/2008
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 1001 W CARSON ST STE D
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City | TORRANCE
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State | CA
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Zip | 90502-2051
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Country | US
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Telephone | 213-427-0667
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Fax | 424-488-2177
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Provider Business Mailing Address
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Address Line | 1001 W CARSON ST STE D
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City | TORRANCE
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State | CA
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Zip | 90502-2051
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Country | US
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Telephone | 213-427-0667
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Fax | 424-288-2177
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Authorized Official
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Title or Position | PRESIDENT
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Name | SEUNG M LEE
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Credential | MD
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Telephone | 213-427-0667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A68956
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License Number State | CA
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