Lee, Gary Allen
Lee, Gary Allen is an sole proprietor health care provider with primary practice located at 11930 Garvey Ave , El Monte CA 91732-3514. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Lee, Gary Allen can be contacted via phone (626) 443-4055.Contact Information
Primary practice address
11930 Garvey Ave
El Monte CA 91732-3514
Phone: (626) 443-4055
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5893T | California |
Profile Details
| NPI number | 1063426278 |
|---|---|
| LBN Legal business name | Lee, Gary Allen |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Jul 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063426278 | NPPES |
| California | MEDICAID | GSD005671 |
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