Provider Demographics
NPI:1164834339
Name:WIN, LEE YEE (MD,)
Entity Type:Individual
Prefix:
First Name:LEE
Middle Name:YEE
Last Name:WIN
Suffix:
Gender:F
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34361 GREEN LANTERN ST
Mailing Address - Street 2:
Mailing Address - City:DANA POINT
Mailing Address - State:CA
Mailing Address - Zip Code:92629-2763
Mailing Address - Country:US
Mailing Address - Phone:626-602-6224
Mailing Address - Fax:
Practice Address - Street 1:24060 CAMINO DEL AVION STE A
Practice Address - Street 2:
Practice Address - City:DANA POINT
Practice Address - State:CA
Practice Address - Zip Code:92629-4006
Practice Address - Country:US
Practice Address - Phone:949-557-0870
Practice Address - Fax:949-557-0871
Is Sole Proprietor?:No
Enumeration Date:2014-05-22
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA144405207Q00000X, 208M00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist