Lee, Charles Kyung Chul

Lee, Charles Kyung Chul is an sole proprietor health care provider with primary practice located at 1545 Pine St. Unit 101, San Francisco CA 94109-1078. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Lee, Charles Kyung Chul can be contacted via phone (415) 933-8330.

Contact Information

Primary practice address
1545 Pine St. Unit 101 San Francisco CA 94109-1078
Fax: (415) 933-8292
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X A82918 California

Profile Details

NPI number 1487635298
LBN Legal business name Lee, Charles Kyung Chul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2005
Last updated Aug 24th, 2021 - about 3 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 1487635298 NPPES
California MEDICAID 00A829180
California Other 00A829180

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