Lee, Sandy O

Lee, Sandy O is an individual health care provider with primary practice located at 4968 Booth Cir Ste 106 , Irvine CA 92604-3370. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Lee, Sandy O can be contacted via phone (949) 387-4900.

Contact Information

Primary practice address
4968 Booth Cir Ste 106 Irvine CA 92604-3370
Phone: (949) 387-4900
Fax: (949) 387-4945
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A711527 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A71522 California

Profile Details

NPI number 1841324456
LBN Legal business name Lee, Sandy O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated Mar 2nd, 2022 - about 4 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 1841324456 NPPES
California MEDICAID 00A563950

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