Lee, Sam Un

Lee, Sam Un is an sole proprietor health care provider with primary practice located at 3414 W Ball Rd Suite K, Anaheim CA 92804-3726. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lee, Sam Un can be contacted via phone (714) 952-2100.

Contact Information

Primary practice address
3414 W Ball Rd Suite K Anaheim CA 92804-3726
Phone: (714) 952-2100
Fax: (714) 952-2121
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A52391 California

Profile Details

NPI number 1053374652
LBN Legal business name Lee, Sam Un
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 7th, 2006
Last updated Jul 9th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053374652 NPPES
California MEDICAID 00A523910

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