Provider Demographics
NPI:1891180188
Name:LEE, GRACE J (MD)
Entity Type:Individual
Prefix:DR
First Name:GRACE
Middle Name:J
Last Name:LEE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:660 4TH ST # 211
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107-1618
Mailing Address - Country:US
Mailing Address - Phone:415-408-6022
Mailing Address - Fax:512-631-8938
Practice Address - Street 1:310 8TH STREET
Practice Address - Street 2:SUITE 210
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94607-6526
Practice Address - Country:US
Practice Address - Phone:510-735-3900
Practice Address - Fax:510-474-1715
Is Sole Proprietor?:No
Enumeration Date:2015-04-02
Last Update Date:2023-11-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA1437732084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry