SearchCalifornia1710I1002X

Kimo Lee, SFIDC

NPI 1720226160 · on the registry since 2009 · sole proprietor

Practice

Address
Bld 601 Mccain Bldg
Branch Medical Clinic Naval Base Coronado
San Diego, CA 92135
Phone
(619) 545-8229

Registry record

Primary taxonomy
1710I1002X
1710I1002X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-05-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California