Organization Name: | PHILLIP H A LEE MD AND CENTER FOR ADVANCED DERMATOLOGY |
NPI Number: | 1124497524 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PHILLIP H A LEE (PRESIDENT) |
Mailing Address: | 1510 S Central Ave Ste 470 Glendale |
State: | CA US |
Postal Code: | 912042514 |
Phone Number: | 8182420035 |
Fax Number: | 8182423628 |
NPI Enumeration Date: | 09/16/2015 |
NPI Last Update Date: | 02/19/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 305R00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Preferred Provider Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |