Provider Demographics
NPI:1306074539
Name:LEE-ZIMMERMAN, CLARA JOYCE (MD)
Entity type:Individual
Prefix:DR
First Name:CLARA
Middle Name:JOYCE
Last Name:LEE-ZIMMERMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CLARA
Other - Middle Name:JOYCE
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3500 LA JOLLA VILLAGE DR
Mailing Address - Street 2:DEPT OF PSYCHIATRY - 116A
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92161-0001
Mailing Address - Country:US
Mailing Address - Phone:858-552-8585
Mailing Address - Fax:
Practice Address - Street 1:3500 LA JOLLA VILLAGE DR
Practice Address - Street 2:DEPT OF PSYCHIATRY - 116A
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92161-0001
Practice Address - Country:US
Practice Address - Phone:858-552-8585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1135372084P0800X
MN563652084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry