Lee, Sam Un
Lee, Sam Un is an sole proprietor health care provider with primary practice located at 3414 W Ball Rd Suite K, Anaheim CA 92804-3726. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lee, Sam Un can be contacted via phone (714) 952-2100.Contact Information
Primary practice address
3414 W Ball Rd Suite K
Anaheim CA 92804-3726
Phone: (714) 952-2100
Fax: (714) 952-2121
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A52391 | California |
Profile Details
NPI number | 1053374652 |
---|---|
LBN Legal business name | Lee, Sam Un |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 7th, 2006 |
Last updated | Jul 9th, 2007 - 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 | 1053374652 | NPPES |
California | MEDICAID | 00A523910 |
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