Lee, Damon

Lee, Damon is an sole proprietor health care provider with primary practice located at 1800 Sullivan Ave Suite 304, Daly City CA 94015-2228. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Lee, Damon can be contacted via phone (650) 756-0110.

Contact Information

Primary practice address
1800 Sullivan Ave Suite 304 Daly City CA 94015-2228
Fax: (650) 756-4475
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A357050 California

Profile Details

NPI number 1922095256
LBN Legal business name Lee, Damon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2005
Last updated Jan 15th, 2010 - about 14 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 1922095256 NPPES
California MEDICAID 00A357050

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