Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2082S0105X | Plastic Hand Surgeon | A84130 | CA |
NPI | 1225065659 |
---|---|
Provider Name | Dr. James J Lee |
First Address | Porter Ranch, CA 91326-4150 |
Second Address | Santa Clarita, CA 91355-4488 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 30/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D32274 | (02) | CA |