Provider Demographics
NPI:1063508679
Name:LEE, FREDERICK OCK-HORN (MD)
Entity Type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:OCK-HORN
Last Name:LEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2750 EAST WASHINGTON BL,SUITE 320
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107
Mailing Address - Country:US
Mailing Address - Phone:626-797-7470
Mailing Address - Fax:626-797-1758
Practice Address - Street 1:2750 EAST WASHINGTON BL
Practice Address - Street 2:SUITE 320
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107
Practice Address - Country:US
Practice Address - Phone:626-797-7470
Practice Address - Fax:626-797-1758
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG48792207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism