Lee, Simon Kwanmin

Lee, Simon Kwanmin is an individual health care provider with primary practice located at 1828 El Camino Real Suite 406, Burlingame CA 94010-3103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Lee, Simon Kwanmin can be contacted via phone (650) 692-1388.

Contact Information

Primary practice address
1828 El Camino Real Suite 406 Burlingame CA 94010-3103
Phone: (650) 692-1388
Fax: (650) 692-1380
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G83169 California

Profile Details

NPI number 1275532145
LBN Legal business name Lee, Simon Kwanmin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Apr 11th, 2008 - about 16 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 1275532145 NPPES
California MEDICAID 00G831691

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