MEDICARE: DR. CATHERINE C LEE MD

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	261Q00000X	Clinic/Center	A26578	CA

General Provider Information

NPI Number	:	1285880344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CATHERINE C LEE MD

Provider Business Mailing Address
First Line	:	2275 BRUNA PL
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-1001
Country	:	US
Telephone Number	:	213-700-3110
Fax Number	:	213-389-9000

Provider Business Practice Location Address
First Line	:	3700 WILSHIRE BLVD
Second Line	:	SUITE # 730
City	:	LOS ANGELES
State	:	CA
Zip	:	90010-2901
Country	:	US
Telephone Number	:	213-700-3110
Fax Number	:	213-389-9000

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2008
Last Update Date	:	08/12/2008

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