Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | A24722 | CA |
NPI | 1023129095 |
---|---|
Provider Name | Dr. Richard Hoo Lee JR. |
First Address | Oakland, CA 94609 |
Second Address | Oakland, CA 94609 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 05/11/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A247220 | (05) | CA |
75618145 | RAILROAD MEDICARE (01) | |
A24095 | (02) | CA |