Lee, Soon T

Lee, Soon T is an individual health care provider with primary practice located at 3300 Telegraph Ave , Oakland CA 94609-3028. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Lee, Soon T can be contacted via phone (510) 444-1600.

Contact Information

Primary practice address
3300 Telegraph Ave Oakland CA 94609-3028
Fax: (510) 444-5117
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X A443122 California

Profile Details

NPI number 1952394553
LBN Legal business name Lee, Soon T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Nov 17th, 2015 - about 10 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 1952394553 NPPES
California MEDICAID 00A443120

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