Doctor Name: | DR. ALAN IRVING LEE |
NPI Number: | 1659497535 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | LL1581 |
Business Practice Address: | 1906 Commercenter E Suite 100 San Bernardino, CA - 924083422 |
Business Phone Number: | 9094787776 |
Business Fax Number: | 9094787768 |
Mailing Address: | 1906 Commercenter E, Suite 100 SAN BERNARDINO |
State: | CA |
Postal Code: | 924083422 |
Phone Number: | 9094787776 |
Fax Number: | 9094787768 |
NPI Enumeration Date: | 03/22/2007 |
NPI Last Update Date: | 06/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | LL1581 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NV |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |