Lee, Irwin H
Lee, Irwin H is an individual health care provider with primary practice located at 301 Professional Center Dr , Rohnert Park CA 94928-2152. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Radiation Oncology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Lee, Irwin H can be contacted via phone (707) 584-2200.Contact Information
Primary practice address
301 Professional Center Dr
Rohnert Park CA 94928-2152
Phone: (707) 584-2200
Fax: (707) 584-7582
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 4301081665 | Michigan |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 4301081665 | Michigan |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | A103038 | California |
Profile Details
| NPI number | 1861510760 |
|---|---|
| LBN Legal business name | Lee, Irwin H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2007 |
| Last updated | Jul 19th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861510760 | NPPES |
| California | MEDICAID | 1861510760 |
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