Provider Demographics
NPI:1568620896
Name:HONG LEE, DEBORAH HYUNJIN (MD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:HYUNJIN
Last Name:HONG LEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 MERCED ST.
Mailing Address - Street 2:HOSPITAL BLDG 2ND FLOOR
Mailing Address - City:SAN LEANDRO
Mailing Address - State:CA
Mailing Address - Zip Code:94577
Mailing Address - Country:US
Mailing Address - Phone:510-454-2069
Mailing Address - Fax:
Practice Address - Street 1:2500 MERCED ST.
Practice Address - Street 2:HOSPITAL BLDG, 2ND FLOOR
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94577
Practice Address - Country:US
Practice Address - Phone:510-454-2069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-22
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA106016207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology