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NPI Code Detail

MEDICARE: DR. CURTIS WAYNE-QUON LEE MD

MEDICARE: DR. CURTIS WAYNE-QUON 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
1207P00000XEmergency Medicine PhysicianG42801CA
2207R00000XInternal Medicine PhysicianG42801CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467498428
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CURTIS WAYNE-QUON LEE MD
Provider Business Mailing Address
First Line : 12309 PROVINCETOWN ST
Second Line :
City : SEAL BEACH
State : CA
Zip : 90740-2784
Country : US
Telephone Number : 562-598-0202
Fax Number :
Provider Business Practice Location Address
First Line : 5 CENTERPOINTE DR
Second Line :
City : LA PALMA
State : CA
Zip : 90623-1050
Country : US
Telephone Number : 888-988-2800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2006
Last Update Date : 12/03/2021

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Directions to “ DR. CURTIS WAYNE-QUON LEE MD” Practice Location

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