Provider Demographics
NPI:1851346100
Name:LEE, SANG HOON (MD)
Entity Type:Individual
Prefix:DR
First Name:SANG HOON
Middle Name:
Last Name:LEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:SANG-HOON
Other - Middle Name:
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:501 W HACIENDA AVE
Mailing Address - Street 2:# E2
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-6543
Mailing Address - Country:US
Mailing Address - Phone:408-425-0200
Mailing Address - Fax:
Practice Address - Street 1:100 OCONNOR DR
Practice Address - Street 2:SUITE 25
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-1647
Practice Address - Country:US
Practice Address - Phone:408-425-0200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-24
Last Update Date:2014-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA33164207RH0003X
VA0101246238207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A87795Medicare UPIN