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Contact Information

JOHN H LEE, MD
2040 E MARIPOSA AVE
EL SEGUNDO, CA90245
 Phone: 213-266-5600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for JOHN H LEE · (Male)

NPI Number 1114910239
Status Active
Credentials MD
Entity Individual
Enumeration date 08/24/2005
Last updated 07/17/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 31332
  • ND License # PT 13015
  • SD License # 7195
  • IA Medicaid 6140715
  • ND Medicaid 18279
  • IA Other 44545 WELLMARK BCBS
Hospital affiliation(s)
  • AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER - (Acute Care)
    1325 S CLIFF AVE POST OFFICE BOX 5045
    SIOUX FALLS, SD 57117
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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