Lee, Peter Po Nung

Lee, Peter Po Nung is an sole proprietor health care provider with primary practice located at 1755 Klamath Ave , San Mateo CA 94403-1020. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Lee, Peter Po Nung can be contacted via phone (310) 882-9389.

Contact Information

Primary practice address
1755 Klamath Ave San Mateo CA 94403-1020
Phone: (310) 882-9389
Fax: (650) 581-1510
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X A67385 California

Profile Details

NPI number 1992724272
LBN Legal business name Lee, Peter Po Nung
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2006
Last updated Jan 19th, 2022 - 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 1992724272 NPPES
California MEDICAID 00A673850

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