Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | G48792 | CA |
NPI | 1063508679 |
---|---|
Provider Name | Dr. Frederick Ock-Horn Lee |
First Address | Pasadena, CA 91107 |
Second Address | Pasadena, CA 91107 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 24/04/2013 |