Provider Demographics
NPI:1831727015
Name:LEE, SOLANDA T (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:
First Name:SOLANDA
Middle Name:T
Last Name:LEE
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Gender:F
Credentials:PHYSICIAN ASSISTANT
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Mailing Address - Street 1:5000 VAN NUYS BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-1717
Mailing Address - Country:US
Mailing Address - Phone:661-267-6876
Mailing Address - Fax:661-360-6380
Practice Address - Street 1:5000 VAN NUYS BLVD STE 200
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-1717
Practice Address - Country:US
Practice Address - Phone:661-267-6876
Practice Address - Fax:661-360-6380
Is Sole Proprietor?:No
Enumeration Date:2020-04-01
Last Update Date:2024-09-04
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant