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NPI Code Detail

MEDICARE: NANCY LEE

MEDICARE:   NANCY  LEE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist12331CA

General Provider Information

NPI Number : 1134074362
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY LEE
Provider Business Mailing Address
First Line : 1955 OAK ST
Second Line :
City : SOUTH PASADENA
State : CA
Zip : 91030-4957
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1512 ARLINGTON AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90019-4552
Country : US
Telephone Number : 626-676-1791
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2026
Last Update Date : 03/03/2026

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Directions to “ NANCY LEE ” Practice Location

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