Lee, Susan J

Lee, Susan J is an individual health care provider with primary practice located at 18372 Clark St Suite 224, Tarzana CA 91356-3508. She recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is her primary health care specialty. Lee, Susan J can be contacted via phone (818) 996-1200.

Contact Information

Primary practice address
18372 Clark St Suite 224 Tarzana CA 91356-3508
Phone: (818) 996-1200
Fax: (818) 996-1325
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X A94671 California
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X A94671 California

Profile Details

NPI number 1083775696
LBN Legal business name Lee, Susan J
Credentials D.M.D., M.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Jul 8th, 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.

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