Provider Demographics
NPI:1437348919
Name:LEE, RYAN YEN CHOY (DPM)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:YEN CHOY
Last Name:LEE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2650 CAMINO DEL RIO N STE 101
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-1630
Mailing Address - Country:US
Mailing Address - Phone:619-291-0777
Mailing Address - Fax:619-291-3231
Practice Address - Street 1:2650 CAMINO DEL RIO N STE 101
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-1630
Practice Address - Country:US
Practice Address - Phone:619-291-0777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-19
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPL00000786213ES0103X
CAE4799213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty