Provider Demographics
NPI:1225136435
Name:LEE, HWA MU (MD)
Entity Type:Individual
Prefix:DR
First Name:HWA
Middle Name:MU
Last Name:LEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3010 W ORANGE AVE
Mailing Address - Street 2:STE 103
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804-3170
Mailing Address - Country:US
Mailing Address - Phone:714-821-7420
Mailing Address - Fax:714-821-7422
Practice Address - Street 1:3010 W ORANGE AVE
Practice Address - Street 2:STE 103
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-3170
Practice Address - Country:US
Practice Address - Phone:714-821-7420
Practice Address - Fax:714-821-7422
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA33216207R00000X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A332160Medicaid
CA00A332160Medicaid
A27074Medicare UPIN