Provider Demographics
NPI:1710180419
Name:LEE, TSZ YING (MD)
Entity type:Individual
Prefix:DR
First Name:TSZ YING
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:811 WILSHIRE BLVD
Mailing Address - Street 2:STE 110
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90017-2606
Mailing Address - Country:US
Mailing Address - Phone:213-415-1990
Mailing Address - Fax:213-415-1940
Practice Address - Street 1:811 WILSHIRE BLVD
Practice Address - Street 2:STE 110
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90017-2606
Practice Address - Country:US
Practice Address - Phone:213-415-1990
Practice Address - Fax:213-415-1940
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-08
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA99205207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
BP652WMedicare UPIN