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NPI Code Detail

MEDICARE: JOHN LEE

MEDICARE:   JOHN  LEE
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
1207X00000XOrthopaedic Surgery PhysicianA89946CA

General Provider Information

NPI Number : 1861619819
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN LEE
Provider Business Mailing Address
First Line : 1200 N STATE ST STE 3900
Second Line :
City : LOS ANGELES
State : CA
Zip : 90089-1004
Country : US
Telephone Number : 323-226-7210
Fax Number : 323-226-4051
Provider Business Practice Location Address
First Line : 1200 N STATE ST STE 3900
Second Line :
City : LOS ANGELES
State : CA
Zip : 90089-1004
Country : US
Telephone Number : 323-226-7210
Fax Number : 323-226-4051
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2007
Last Update Date : 11/30/2021

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Directions to “ JOHN LEE ” Practice Location

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