MEDICARE: DR. STEVEN K. 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	207YS0123X	Facial Plastic Surgery Physician	G53712	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992877427
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN K. LEE M.D.

Provider Business Mailing Address
First Line	:	300 S HOBART BLVD
Second Line	:	SUITE 301
City	:	LOS ANGELES
State	:	CA
Zip	:	90020-3635
Country	:	US
Telephone Number	:	213-387-1417
Fax Number	:	213-387-1256

Provider Business Practice Location Address
First Line	:	300 S HOBART BLVD
Second Line	:	SUITE 301
City	:	LOS ANGELES
State	:	CA
Zip	:	90020-3635
Country	:	US
Telephone Number	:	213-387-1417
Fax Number	:	213-387-1256

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

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	04/29/2010

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