Drake, Samuel Lee

Drake, Samuel Lee is an individual health care provider with primary practice located at 3540 Wilshire Blvd Suite 714, Los Angeles CA 90010-2307. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Drake, Samuel Lee can be contacted via phone (213) 382-2063.

Contact Information

Primary practice address
3540 Wilshire Blvd Suite 714 Los Angeles CA 90010-2307
Phone: (213) 382-2063
Fax: (213) 382-4935
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X C37664 California
Allopathic & Osteopathic Physicians / General Practice 208D00000X C37664 California

Profile Details

NPI number 1013094341
LBN Legal business name Drake, Samuel Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Mar 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013094341 NPPES
California Other C37664 MEDICAL LICENSE

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