Basic Information
| Provider Information | |||||||||
| NPI: | 1083655534 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LEE | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | HO | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1191 E HERNDON AVE | ||||||||
| Address2: | #102 | ||||||||
| City: | FRESNO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 937203164 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5597021390 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1191 E HERNDON AVE | ||||||||
| Address2: | #102 | ||||||||
| City: | FRESNO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 937203164 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3105477337 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/08/2006 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2086S0129X | G84634 | CA | Y | Allopathic & Osteopathic Physicians | Surgery | Vascular Surgery |
No ID Information.