| NPI | 1003311713 |
|---|---|
| Doing Business As | PHILIP H. LEE |
| Entity Type | Organization |
| Authorized Contact | SCOTT R LEE Oa 818-314-6514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2019-06-14 |