Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | G53712 | CA |
NPI | 1992877427 |
---|---|
Provider Name | Dr. Steven K. Lee |
First Address | Los Angeles, CA 90020-3635 |
Second Address | Los Angeles, CA 90020-3635 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2006 |
Last Update Date | 29/04/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G537120 | (05) | CA |
A93251 | (02) | CA |