MEDICARE: WASHINGTON MEDICAL CLINIC INC

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
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1144187451
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WASHINGTON MEDICAL CLINIC INC

Provider Business Mailing Address
First Line	:	5797 WASHINGTON BLVD
Second Line	:
City	:	CULVER CITY
State	:	CA
Zip	:	90232-7336
Country	:	US
Telephone Number	:	424-433-4770
Fax Number	:

Provider Business Practice Location Address
First Line	:	5797 WASHINGTON BLVD
Second Line	:
City	:	CULVER CITY
State	:	CA
Zip	:	90232-7336
Country	:	US
Telephone Number	:	424-433-4770
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DANNY J LEE
Credential	:	MD
Telephone Number	:	424-433-4770

Provider Enumeration Date	:	01/07/2026
Last Update Date	:	01/07/2026

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