MEDICARE: DR. SANG HOON 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	207RH0003X	Hematology & Oncology Physician	A33164	CA

General Provider Information

NPI Number	:	1851346100
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SANG HOON LEE M.D.

Provider Business Mailing Address
First Line	:	501 W HACIENDA AVE
Second Line	:	# E2
City	:	CAMPBELL
State	:	CA
Zip	:	95008-6543
Country	:	US
Telephone Number	:	408-425-0200
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 OCONNOR DR
Second Line	:	SUITE 25
City	:	SAN JOSE
State	:	CA
Zip	:	95128-1647
Country	:	US
Telephone Number	:	408-425-0200
Fax Number	:

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

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	08/28/2014

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Directions to “ DR. SANG HOON LEE M.D.” Practice Location

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