MEDICARE: DR. MILTON IRVEN 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	207VM0101X	Maternal & Fetal Medicine Physician	G38735	CA

General Provider Information

NPI Number	:	1497744353
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MILTON IRVEN LEE M.D.

Provider Business Mailing Address
First Line	:	3680 E IMPERIAL HWY
Second Line	:	SUITE 460
City	:	LYNWOOD
State	:	CA
Zip	:	90262-2659
Country	:	US
Telephone Number	:	310-635-5857
Fax Number	:	310-635-0102

Provider Business Practice Location Address
First Line	:	3680 E IMPERIAL HWY
Second Line	:	SUITE 460
City	:	LYNWOOD
State	:	CA
Zip	:	90262-2659
Country	:	US
Telephone Number	:	310-635-5857
Fax Number	:	310-635-0102

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

Provider Enumeration Date	:	10/13/2005
Last Update Date	:	01/29/2010

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