Lee, Thomas T,

Lee, Thomas T, is an sole proprietor health care provider with primary practice located at 4950 San Bernardino St Ste #106, Montclair CA 91763-2328. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Lee, Thomas T, can be contacted via phone (909) 450-5000.

Contact Information

Primary practice address
4950 San Bernardino St Ste #106 Montclair CA 91763-2328
Phone: (909) 450-5000
Fax: (909) 621-6735
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A37294 California

Profile Details

NPI number 1942304373
LBN Legal business name Lee, Thomas T,
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2006
Last updated Oct 19th, 2015 - about 9 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 1942304373 NPPES
California MEDICAID GR0051992
California MEDICAID GR0051991
California MEDICAID GR0051990

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