Lee, Edward Wolfgang

Lee, Edward Wolfgang is an sole proprietor health care provider with primary practice located at 757 Westwood Plz Ste 2125B , Los Angeles CA 90095-8358. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Lee, Edward Wolfgang can be contacted via phone (310) 267-8751.

Contact Information

Primary practice address
757 Westwood Plz Ste 2125B Los Angeles CA 90095-8358
Phone: (310) 267-8751
Fax: (310) 206-3631
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A97746 California
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X A97746 California

Profile Details

NPI number 1215189550
LBN Legal business name Lee, Edward Wolfgang
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2008
Last updated Dec 16th, 2019 - about 5 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 1215189550 NPPES
California MEDICAID 00A977460

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