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JOHN J LEE MD A PROFESSIONAL CORPORATION NPI 1780040840


NPI Information

NPI: 1780040840
Provider Name: JOHN J LEE MD A PROFESSIONAL CORPORATION
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
35400 BOB HOPE DR STE 206
RANCHO MIRAGE, CA
ZIP 92270
Phone: (310) 528-0764
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JOHN J LEE MD A PROFESSIONAL CORPORATION is a vascular surgery surgery in Rancho Mirage, CA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. JOHN J LEE MD A PROFESSIONAL CORPORATION NPI is 1780040840. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

35400 BOB HOPE DR STE 206
RANCHO MIRAGE, CA
ZIP 92270-774
Phone: (310) 528-0764

The provider's authorized official is Tayyab Waseem .
The authorized official title is Credentialling Manager and has the following contact phone number (628) 203-3493.

The enumeration date for this NPI number is 1/5/2016 and was last updated on 3/25/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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