Provider Demographics
NPI:1740750785
Name:LEE, DIANA YH (NP)
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:YH
Last Name:LEE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14372 BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-4578
Mailing Address - Country:US
Mailing Address - Phone:909-272-7781
Mailing Address - Fax:
Practice Address - Street 1:14372 BEACH BLVD
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-4578
Practice Address - Country:US
Practice Address - Phone:714-922-4195
Practice Address - Fax:714-633-1784
Is Sole Proprietor?:No
Enumeration Date:2018-12-03
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95006722363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily