Dong Hyun Lee, Md, Inc. | |
2727 W Olympic Blvd Ste 309 Los Angeles CA 90006-2699 | |
(213) 674-7758 | |
(213) 674-7857 |
Full Name | Dong Hyun Lee, Md, Inc. |
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Speciality | Internal Medicine |
Location | 2727 W Olympic Blvd Ste 309, Los Angeles, California |
Authorized Official Name and Position | Dong Hyun Lee (PRESIDENT) |
Authorized Official Contact | 7145046404 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dong Hyun Lee, Md, Inc. 78 Shadywood Irvine CA 92620-7203 Ph: (714) 504-6404 | Dong Hyun Lee, Md, Inc. 2727 W Olympic Blvd Ste 309 Los Angeles CA 90006-2699 Ph: (213) 674-7758 |
NPI Number | 1538723382 |
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Provider Enumeration Date | 04/26/2019 |
Last Update Date | 09/03/2019 |
Medicare PECOS PAC ID | 6800229923 |
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Medicare Enrollment ID | O20191204000631 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538723382 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Provider Name | Dong H Lee |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1134109200 PECOS PAC ID: 8729175690 Enrollment ID: I20110105001085 |
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