Lee, Tai Kwong

Lee, Tai Kwong is an individual health care provider with primary practice located at 15107 Vanowen St , Van Nuys CA 91405-4542. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Lee, Tai Kwong can be contacted via phone (818) 782-6600.

Contact Information

Primary practice address
15107 Vanowen St Van Nuys CA 91405-4542
Phone: (818) 782-6600
Fax: (818) 715-1722
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A69722A California
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X A69722A California

Profile Details

NPI number 1215965322
LBN Legal business name Lee, Tai Kwong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Oct 16th, 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 1215965322 NPPES
California Other WA69722A MEDICARE PPIN
California Other W18290 MEDICARE PPIN

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