Provider Demographics
NPI:1538111026
Name:LEE, HESTER H (MD)
Entity Type:Individual
Prefix:
First Name:HESTER
Middle Name:H
Last Name:LEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:901 NEVIN AVE
Mailing Address - Street 2:EYE DEPARTMENT 2C
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94801-3143
Mailing Address - Country:US
Mailing Address - Phone:510-307-1530
Mailing Address - Fax:510-307-2123
Practice Address - Street 1:901 NEVIN AVE
Practice Address - Street 2:DEPT OF OPHTHALMOLOGY, BUILDING C, 2ND FLOOR
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94801-3143
Practice Address - Country:US
Practice Address - Phone:510-307-1530
Practice Address - Fax:510-307-2123
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA90953207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A909530Medicare ID - Type UnspecifiedPIM
CAI28760Medicare UPIN