Lee, Brian M

Lee, Brian M is an sole proprietor health care provider with primary practice located at 3625 Martin Luther King Jr Blvd Suite #5, Lynwood CA 90262-3509. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Lee, Brian M can be contacted via phone (310) 763-7504.

Contact Information

Primary practice address
3625 Martin Luther King Jr Blvd Suite #5 Lynwood CA 90262-3509
Phone: (310) 763-7504
Fax: (310) 763-7573
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X A86438 California

Profile Details

NPI number 1558457556
LBN Legal business name Lee, Brian M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2006
Last updated Jun 21st, 2022 - 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 1558457556 NPPES
California MEDICAID 00A864380

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