Provider Demographics
NPI:1073296372
Name:HAE SEUNG LEE.M.D.INC
Entity Type:Organization
Organization Name:HAE SEUNG LEE.M.D.INC
Other - Org Name:SOUTH BAY ENDOCRINE SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HAE SEUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-876-2421
Mailing Address - Street 1:PO BOX 3033
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90510-3033
Mailing Address - Country:US
Mailing Address - Phone:310-876-2421
Mailing Address - Fax:508-213-3951
Practice Address - Street 1:4201 TORRANCE BLVD STE 750
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-4520
Practice Address - Country:US
Practice Address - Phone:310-876-2421
Practice Address - Fax:508-213-3951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-11
Last Update Date:2024-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty