Provider Demographics
NPI:1043623515
Name:LEE, RICHARD EMERSON (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:EMERSON
Last Name:LEE
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1431 N BEVERLY GLEN BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90077-3127
Mailing Address - Country:US
Mailing Address - Phone:424-272-1462
Mailing Address - Fax:
Practice Address - Street 1:3250 WILSHIRE BLVD # 201
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90010-1577
Practice Address - Country:US
Practice Address - Phone:323-361-6233
Practice Address - Fax:323-361-5309
Is Sole Proprietor?:No
Enumeration Date:2014-06-03
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MS933-L2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry