Provider Demographics
NPI:1376646406
Name:LEE, CATHY C (MD)
Entity Type:Individual
Prefix:DR
First Name:CATHY
Middle Name:C
Last Name:LEE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:11301 WILSHIRE BLVD
Mailing Address - Street 2:GRECC 11-G
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90073-1003
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11301 WILSHIRE BLVD
Practice Address - Street 2:GRECC 11-G
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90073-1003
Practice Address - Country:US
Practice Address - Phone:310-268-4110
Practice Address - Fax:310-268-4842
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-07-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA87821207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine