Basic Information
Provider Information
NPI: 1073866802
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LEE
FirstName: CHEE
MiddleName: TEIK
NamePrefix: DR.
NameSuffix:  
Credential: M.B., B.S.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 500 PARNASSUS AVE
Address2: MILLBERRY UNION EAST 4TH FLOOR, BOX 0648
City: SAN FRANCISCO
State: CA
PostalCode: 94143
CountryCode: US
TelephoneNumber: 4154769041
FaxNumber:  
Practice Location
Address1: 500 PARNASSUS AVE
Address2: MILLBERRY UNION EAST 4TH FLOOR, BOX 0648
City: SAN FRANCISCO
State: CA
PostalCode: 941432203
CountryCode: US
TelephoneNumber: 4154769041
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/17/2012
LastUpdateDate: 09/24/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XF5716CAY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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