Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | A106920 | CA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | A106920 | CA |
NPI | 1528238839 |
---|---|
Provider Name | Ho Hyung Lee |
First Address | Santa Clara, CA 95050-5518 |
Second Address | Fontana, CA 92335-6720 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/03/2008 |
Last Update Date | 30/11/2021 |