| Simon Lee, MD, a Professional Corporation | |
|
1828 El Camino Real Suite 406 Burlingame CA 94010-3103 | |
| (650) 692-1388 | |
| (650) 692-1380 |
| Full Name | Simon Lee, MD, a Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 1828 El Camino Real, Burlingame, California |
| Authorized Official Name and Position | Simon Kwanmin Lee (PRESIDENT) |
| Authorized Official Contact | 6506921388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Simon Lee, MD, a Professional Corporation 1828 El Camino Real Suite 406 Burlingame CA 94010-3103 Ph: (650) 692-1388 | Simon Lee, MD, a Professional Corporation 1828 El Camino Real Suite 406 Burlingame CA 94010-3103 Ph: (650) 692-1388 |
| NPI Number | 1891709614 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891709614 | NPI | - | NPPES |
| 00G831691 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G83169 (California) | Primary |
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