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NPI Code Detail

MEDICARE: HYEONHYE LEE NP

MEDICARE: HYEONHYE LEE NP
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
1363LF0000XFamily Nurse Practitioner95010603CA

General Provider Information

NPI Number : 1265858690
Entity Type Code : Individual
Provider Name (Legal Business Name) : HYEONHYE LEE NP
Provider Business Mailing Address
First Line : 451 WEST LINCOLN AVENUE
Second Line : SUITE 100
City : ANAHEIM
State : CA
Zip : 92805-2912
Country : US
Telephone Number : 714-503-6550
Fax Number : 714-409-3075
Provider Business Practice Location Address
First Line : 451 WEST LINCOLN AVENUE
Second Line : SUITE 100
City : ANAHEIM
State : CA
Zip : 92805-2912
Country : US
Telephone Number : 714-503-6550
Fax Number : 714-409-3075
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2014
Last Update Date : 07/24/2025

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