Provider Demographics
NPI:1427252303
Name:LEE, SZE CHING (MD)
Entity type:Individual
Prefix:DR
First Name:SZE
Middle Name:CHING
Last Name:LEE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1560 E CHEVY CHASE DR STE 325
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91206-4140
Mailing Address - Country:US
Mailing Address - Phone:818-242-1144
Mailing Address - Fax:818-242-6948
Practice Address - Street 1:1560 E CHEVY CHASE DR
Practice Address - Street 2:#325
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91206-4197
Practice Address - Country:US
Practice Address - Phone:818-242-1144
Practice Address - Fax:818-242-6948
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG22827208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA89366Medicare UPIN