Lee, Edward Su-Chong

Lee, Edward Su-Chong is an individual health care provider with primary practice located at 1140 W La Veta Ave Ste. 520, Orange CA 92868-4225. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Lee, Edward Su-Chong can be contacted via phone (714) 543-2000.

Contact Information

Primary practice address
1140 W La Veta Ave Ste. 520 Orange CA 92868-4225
Phone: (714) 543-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X A62692 California

Profile Details

NPI number 1114926672
LBN Legal business name Lee, Edward Su-Chong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Aug 15th, 2008 - about 17 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 1114926672 NPPES
California MEDICAID 00A626920
California Other 00A626920
California Other P00002597

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