Provider Demographics
NPI:1689842502
Name:HYUK LEE M.D. A MEDICAL CORPORATION
Entity Type:Organization
Organization Name:HYUK LEE M.D. A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, (M.D.)
Authorized Official - Prefix:DR
Authorized Official - First Name:HYUK
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-804-4441
Mailing Address - Street 1:10230 E. ARTESIA BLVD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-6768
Mailing Address - Country:US
Mailing Address - Phone:562-804-4441
Mailing Address - Fax:562-925-1089
Practice Address - Street 1:10230 E. ARTESIA BLVD
Practice Address - Street 2:SUITE 303
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-6768
Practice Address - Country:US
Practice Address - Phone:562-804-4441
Practice Address - Fax:562-925-1089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-13
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA30417207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW9242Medicare PIN
CAW19559Medicare UPIN
WA30417AMedicare Oscar/Certification
CAE98797Medicare UPIN