Provider Demographics
NPI:1306814256
Name:LEE, CINDY BURNS (MD)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:BURNS
Last Name:LEE
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 1:5 HARRIS CT
Mailing Address - Street 2:BLDG. T SUITE 103
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-5750
Mailing Address - Country:US
Mailing Address - Phone:831-375-8880
Mailing Address - Fax:831-375-8880
Practice Address - Street 1:5 HARRIS CT
Practice Address - Street 2:BLDG. T SUITE 103
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-5750
Practice Address - Country:US
Practice Address - Phone:831-375-8880
Practice Address - Fax:831-375-8880
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA43146207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF72844Medicare UPIN
CA00A431462Medicare PIN