Lee, Keith J
Lee, Keith J is an individual health care provider with primary practice located at 4050 Barranca Pkwy Suite 200, Irvine CA 92604-7706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Lee, Keith J can be contacted via phone (949) 551-1090.Contact Information
Primary practice address
4050 Barranca Pkwy Suite 200
Irvine CA 92604-7706
Phone: (949) 551-1090
Fax: (949) 262-5500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G52059 | California |
Profile Details
| NPI number | 1699766188 |
|---|---|
| LBN Legal business name | Lee, Keith J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Oct 13th, 2015 - about 11 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 | 1699766188 | NPPES |
| California | MEDICAID | 00G520590 |
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