Lee, Sally
Lee, Sally is an sole proprietor health care provider with primary practice located at 5965 Severin Dr. , La Mesa CA 91942-3428. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Lee, Sally can be contacted via phone (619) 583-4295.Contact Information
Primary practice address
5965 Severin Dr.
La Mesa CA 91942-3428
Phone: (619) 583-4295
Fax: (619) 825-7300
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 20A80880 | California |
Profile Details
| NPI number | 1457468514 |
|---|---|
| LBN Legal business name | Lee, Sally |
| Credentials | MD, DO |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Mar 29th, 2023 - about 2 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 | 1457468514 | NPPES |
| California | MEDICAID | 00AX8088 | |
| California | Other | 1285859900 |
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