Provider Demographics
NPI:1598565343
Name:H.W. LEE GASTROENTEROLOGY INC.
Entity type:Organization
Organization Name:H.W. LEE GASTROENTEROLOGY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HIN WAH
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-747-2785
Mailing Address - Street 1:1534 ELIZABETH ST
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-7019
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:255 TERRACINA BLVD.
Practice Address - Street 2:SUITE 104B
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-0742
Practice Address - Country:US
Practice Address - Phone:909-793-3293
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty