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NPI Code Detail

MEDICARE: DR. SARAH J LEE DO

MEDICARE:  DR. SARAH J LEE  DO
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
12084P0804XChild & Adolescent Psychiatry Physician20A19868CA

General Provider Information

NPI Number : 1134649742
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SARAH J LEE DO
Provider Business Mailing Address
First Line : 9990 COUNTY FARM RD
Second Line :
City : RIVERSIDE
State : CA
Zip : 92503-3542
Country : US
Telephone Number : 951-358-4700
Fax Number :
Provider Business Practice Location Address
First Line : 9990 COUNTY FARM RD
Second Line :
City : RIVERSIDE
State : CA
Zip : 92503-3542
Country : US
Telephone Number : 951-358-4700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2017
Last Update Date : 12/08/2025

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