Provider Demographics
NPI:1326176405
Name:LEE, ISABEL DEMOS (MD)
Entity Type:Individual
Prefix:
First Name:ISABEL
Middle Name:DEMOS
Last Name:LEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:1030 INTERNATIONAL BLVD
Mailing Address - Street 2:SAN ANTONIO NEIGHBORHOOD HEALTH CENTER
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94606
Mailing Address - Country:US
Mailing Address - Phone:510-238-5416
Mailing Address - Fax:510-238-5437
Practice Address - Street 1:1030 INTERNATIONAL BLVD
Practice Address - Street 2:SAN ANTONIO NEIGHBORHOOD HEALTH CENTER
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94606
Practice Address - Country:US
Practice Address - Phone:510-238-5416
Practice Address - Fax:510-238-5437
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2010-08-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA93882207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine