MEDICARE: CHAD LEE M.D.

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	208VP0000X	Pain Medicine Physician	080672	GA
2	208VP0014X	Interventional Pain Medicine Physician	036.158810	IL
3	208VP0014X	Interventional Pain Medicine Physician	C185701	CA

General Provider Information

NPI Number	:	1457694887
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHAD LEE M.D.

Provider Business Mailing Address
First Line	:	320 S GARFIELD AVE STE 118
Second Line	:
City	:	ALHAMBRA
State	:	CA
Zip	:	91801-3887
Country	:	US
Telephone Number	:	626-310-7711
Fax Number	:	626-313-3926

Provider Business Practice Location Address
First Line	:	320 S GARFIELD AVE STE 118
Second Line	:
City	:	ALHAMBRA
State	:	CA
Zip	:	91801-3887
Country	:	US
Telephone Number	:	626-310-7711
Fax Number	:	626-313-3926

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

Provider Enumeration Date	:	04/04/2013
Last Update Date	:	11/03/2025

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