Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A120350 | CA |
N | 111NI0900X | Internist | A120350 | CA |
Y | 207RA0201X | Internist - Allergy & Immunology | 120350 | CA |
NPI | 1114243136 |
---|---|
Provider Name | Joyce Xiang Wu Lee |
First Address | Los Angeles, CA 90095-0001 |
Second Address | Los Angeles, CA 90095-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2010 |
Last Update Date | 06/12/2021 |