Provider Demographics
NPI:1083655534
Name:LEE, JAMES HO (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:HO
Last Name:LEE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1177 E WARNER AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-4030
Mailing Address - Country:US
Mailing Address - Phone:559-702-1390
Mailing Address - Fax:619-519-7073
Practice Address - Street 1:1177 E WARNER AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-4030
Practice Address - Country:US
Practice Address - Phone:559-702-1390
Practice Address - Fax:619-519-7073
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG846342086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWG84634Medicare PIN
CAF61868Medicare UPIN