Provider Demographics
NPI:1992821797
Name:LEE, CATHERINE HEE YONG (MD)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:HEE YONG
Last Name:LEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:HEE YONG
Other - Middle Name:
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2121 E COAST HWY STE 110
Mailing Address - Street 2:
Mailing Address - City:CORONA DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92625-1912
Mailing Address - Country:US
Mailing Address - Phone:949-629-4263
Mailing Address - Fax:949-629-4266
Practice Address - Street 1:2121 E COAST HWY STE 110
Practice Address - Street 2:
Practice Address - City:CORONA DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92625-1912
Practice Address - Country:US
Practice Address - Phone:949-629-4263
Practice Address - Fax:949-629-4266
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2015-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA125706207N00000X, 207ND0101X, 207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology