| South Bay Endocrine Specialists | |
|
4201 Torrance Blvd Ste 750 Torrance CA 90503-4520 | |
| (310) 876-2421 | |
| (508) 213-3951 |
| Full Name | South Bay Endocrine Specialists |
|---|---|
| Speciality | Internal Medicine |
| Location | 4201 Torrance Blvd Ste 750, Torrance, California |
| Authorized Official Name and Position | Hae Seung Lee (OWNER) |
| Authorized Official Contact | 3108762421 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Bay Endocrine Specialists Po Box 3033 Torrance CA 90510-3033 Ph: (310) 876-2421 | South Bay Endocrine Specialists 4201 Torrance Blvd Ste 750 Torrance CA 90503-4520 Ph: (310) 876-2421 |
| NPI Number | 1073296372 |
|---|---|
| Provider Enumeration Date | 08/11/2023 |
| Last Update Date | 01/13/2024 |
| Medicare PECOS PAC ID | 5698121713 |
|---|---|
| Medicare Enrollment ID | O20231026000546 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073296372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Hae Seung Lee |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1477971331 PECOS PAC ID: 4789965088 Enrollment ID: I20231026000613 |
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