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NPI Code Detail

MEDICARE: CHING G LEE MD

MEDICARE:   CHING G 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
1207R00000XInternal Medicine PhysicianG61762CA

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 : 1821105321
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHING G LEE MD
Provider Business Mailing Address
First Line : 408 S. BEACH BLVD.
Second Line : #203
City : ANAHEIM
State : CA
Zip : 92804
Country : US
Telephone Number : 714-527-9111
Fax Number : 714-527-7426
Provider Business Practice Location Address
First Line : 408 S. BEACH BLVD.
Second Line : #203
City : ANAHEIM
State : CA
Zip : 92804-1877
Country : US
Telephone Number : 714-527-9111
Fax Number : 714-527-7426
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2006
Last Update Date : 06/29/2011

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