Lee, Timothy David
Lee, Timothy David is an individual health care provider with primary practice located at 6305 Coyle Avenue , Carmichael CA 95608-0438. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Lee, Timothy David can be contacted via phone (916) 961-6920.Contact Information
Primary practice address
6305 Coyle Avenue
Carmichael CA 95608-0438
Phone: (916) 961-6920
Fax: (916) 966-5063
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | A81416 | California |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | A81416 | California |
Profile Details
NPI number | 1790728020 |
---|---|
LBN Legal business name | Lee, Timothy David |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 14th, 2006 |
Last updated | Oct 25th, 2016 - about 8 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 | 1790728020 | NPPES |
California | Other | 00A814160 | MEDICAL |
California | Other | P00288684 | MEDICAL |
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