Lee, Soledad O

Lee, Soledad O is an individual health care provider with primary practice located at 6888 Lincoln Ave Ste M, Buena Park CA 90620-4107. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Lee, Soledad O can be contacted via phone (714) 828-8400.

Contact Information

Primary practice address
6888 Lincoln Ave Ste M Buena Park CA 90620-4107
Fax: (714) 828-0202
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A35051 California

Profile Details

NPI number 1063609097
LBN Legal business name Lee, Soledad O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2007
Last updated Oct 8th, 2010 - about 14 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 1063609097 NPPES
California MEDICAID 00A350510

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