Provider Demographics
NPI:1417932716
Name:LEE, SIONG CHUAN (MD)
Entity Type:Individual
Prefix:MR
First Name:SIONG
Middle Name:CHUAN
Last Name:LEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:929 CLAY ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108-1568
Mailing Address - Country:US
Mailing Address - Phone:415-982-9877
Mailing Address - Fax:415-982-5523
Practice Address - Street 1:929 CLAY ST
Practice Address - Street 2:SUITE 105
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-1556
Practice Address - Country:US
Practice Address - Phone:415-982-9877
Practice Address - Fax:415-982-5523
Is Sole Proprietor?:No
Enumeration Date:2005-12-08
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA31930207N00000X
CA0500687140207ZD0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathology