Provider Demographics
NPI:1508949652
Name:LEE, ALLEN H (MD)
Entity Type:Individual
Prefix:
First Name:ALLEN
Middle Name:H
Last Name:LEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4203 GENESEE AVENUE
Mailing Address - Street 2:#103-306
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92117
Mailing Address - Country:US
Mailing Address - Phone:858-677-0727
Mailing Address - Fax:858-481-8862
Practice Address - Street 1:3262 HOLIDAY COURT
Practice Address - Street 2:SUITE 200
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037
Practice Address - Country:US
Practice Address - Phone:858-677-0727
Practice Address - Fax:858-481-8862
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD000452982084P0800X
CAA928012084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry