Renee Lee
Physician Assistant, Surgical in Los Angeles, CA. Individual provider (NPI-1).
NPI number1336729151
StatusActive
Last updated in NPPESMar 19, 2024
Details
- NPI
- 1336729151
- Entity type
- Individual (NPI-1)
- Name
- Renee Lee
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 14, 2021
- Certification date
- Mar 19, 2024
- Last updated
- Mar 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | 59682 | CA | Yes |
| 363A00000X | Physician Assistant | 59682 | CA |
Practice location
1245 Wilshire Blvd Ste 530Los Angeles, CA 90017-5733
Phone 213-483-1055 · Fax 213-483-1418
Mailing address
1245 Wilshire Blvd Ste 530Los Angeles, CA 90017-5733
Phone 213-483-1055 · Fax 213-483-1418
Other practice locations
400 N Pepper Ave Ste 107
Colton, CA 92324-1801
Colton, CA 92324-1801
Phone 909-580-2178
1225 Wilshire Blvd
Los Angeles, CA 90017-1901
Los Angeles, CA 90017-1901
Phone 213-977-2121 · Fax 213-482-2770
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