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NPI Code Detail

MEDICARE: DAVID RICHARD LEE

MEDICARE:   DAVID RICHARD 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
1207R00000XInternal Medicine PhysicianA152391CA
2207RG0300XGeriatric Medicine (Internal Medicine) PhysicianA152391CA

General Provider Information

NPI Number : 1942663166
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID RICHARD LEE
Provider Business Mailing Address
First Line : 5767 W CENTURY BLVD STE 400
Second Line :
City : LOS ANGELES
State : CA
Zip : 90045-5631
Country : US
Telephone Number : 310-301-5256
Fax Number :
Provider Business Practice Location Address
First Line : 200 MEDICAL PLAZA SUITE 365A
Second Line :
City : LOS ANGELES
State : CA
Zip : 90095-5641
Country : US
Telephone Number : 310-206-0644
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2016
Last Update Date : 01/06/2022

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Directions to “ DAVID RICHARD LEE ” Practice Location

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