Susan J. Lee, Dmd, Md Inc

LBN: Susan J. Lee, Dmd, Md Inc
Susan J. Lee, Dmd, Md Inc is an health care organization with primary practice located at 175 N Pennsylvania Ave Ste 3 , Glendora CA 91741-3316. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as the primary health care specialty. Susan J. Lee, Dmd, Md Inc can be contacted via phone (626) 852-0365, or through Lee, Susan Jean via phone (818) 939-4378.

Contact Information

Primary practice address
175 N Pennsylvania Ave Ste 3 Glendora CA 91741-3316
Phone: (626) 852-0365
Fax: (626) 852-0369
Website:
Map and Directions
Authorized official contact:
Name: Lee, Susan Jean Doctor of Medicine (MD)
Phone: (818) 939-4378

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X

Profile Details

NPI number 1235754334
LBN Legal business name Susan J. Lee, Dmd, Md Inc
DBA Doing business as
Authorized official Lee, Susan Jean Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2020
Last updated Jun 15th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235754334 NPPES
Other 14457151 CAQH

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