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SEUNG MIN LEE MEDICAL INC NPI 1962665349


NPI Information

NPI: 1962665349
Provider Name: SEUNG MIN LEE MEDICAL INC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 05D1038580

Address:
2030 W PICO BLVD
SUITE 1
LOS ANGELES, CA
ZIP 90006
Phone: (213) 427-0667
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SEUNG MIN LEE MEDICAL INC is a pediatrics in Los Angeles, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. SEUNG MIN LEE MEDICAL INC NPI is 1962665349. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2030 W PICO BLVD
SUITE 1
LOS ANGELES, CA
ZIP 90006-011
Phone: (213) 427-0667
Fax: (213) 427-0982

The provider's authorized official is Seung Min Lee .
The authorized official title is President and has the following contact phone number (213) 427-0667.

The CLIA number assigned to this NPI record is 05D1038580 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/7/2008 and was last updated on 7/7/2008.


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
1208000000XPediatricsA68956CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A689560MEDICAIDCALIFORNIA

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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