Lee, Edmond

Lee, Edmond is an individual health care provider with primary practice located at 500 N Garfield Ave Ste 305 , Monterey Park CA 91754-1242. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Lee, Edmond can be contacted via phone (626) 703-4188.

Contact Information

Primary practice address
500 N Garfield Ave Ste 305 Monterey Park CA 91754-1242
Phone: (626) 703-4188
Fax: (213) 617-3144
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X E4038 California
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E4038 California
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E4038 California

Profile Details

NPI number 1174552541
LBN Legal business name Lee, Edmond
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Jan 17th, 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 1174552541 NPPES
California MEDICAID 000E40380
California Other P00098261

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