Provider Demographics
NPI:1427067669
Name:LEE, ANDREW C (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:C
Last Name:LEE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:168 N. BRENT STREET
Mailing Address - Street 2:SUITE 503
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003
Mailing Address - Country:US
Mailing Address - Phone:805-653-0101
Mailing Address - Fax:805-641-0434
Practice Address - Street 1:168 N. BRENT STREET
Practice Address - Street 2:SUITE 503
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003
Practice Address - Country:US
Practice Address - Phone:805-653-0101
Practice Address - Fax:805-641-0434
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2022-02-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA81896207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine