Provider Demographics
NPI:1942690136
Name:CHRISTOPHER S. LEE, MD, MBA, INC.
Entity Type:Organization
Organization Name:CHRISTOPHER S. LEE, MD, MBA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING SPEC/ACCOUNTS REC
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:MADISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-848-3030
Mailing Address - Street 1:191 S BUENA VISTA ST
Mailing Address - Street 2:SUITE 470
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-4554
Mailing Address - Country:US
Mailing Address - Phone:818-848-3030
Mailing Address - Fax:818-847-7845
Practice Address - Street 1:191 S BUENA VISTA ST
Practice Address - Street 2:SUITE 470
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4554
Practice Address - Country:US
Practice Address - Phone:818-848-3030
Practice Address - Fax:818-848-2228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-27
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA112769174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty