Provider Demographics
NPI:1477971331
Name:LEE, HAE SEUNG (MD)
Entity Type:Individual
Prefix:
First Name:HAE SEUNG
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3033
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90510-3033
Mailing Address - Country:US
Mailing Address - Phone:626-817-2891
Mailing Address - Fax:508-213-3951
Practice Address - Street 1:2512 WOODBURY DR
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-7421
Practice Address - Country:US
Practice Address - Phone:626-817-2891
Practice Address - Fax:508-213-3951
Is Sole Proprietor?:No
Enumeration Date:2014-03-28
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA171672207RE0101X, 207RB0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207RB0002XAllopathic & Osteopathic PhysiciansInternal MedicineObesity Medicine