Lee, Tae Y
Lee, Tae Y is an individual health care provider with primary practice located at 3300 E South St # 110, Long Beach CA 90805. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Lee, Tae Y can be contacted via phone (562) 630-7279.Contact Information
Primary practice address
3300 E South St # 110
Long Beach CA 90805
Phone: (562) 630-7279
Fax: (562) 630-8828
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | A50000 | California |
Profile Details
| NPI number | 1821014879 |
|---|---|
| LBN Legal business name | Lee, Tae Y |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Sep 20th, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821014879 | NPPES |
| California | MEDICAID | GR0060560 |
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