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Dr. Chang Sup Lee, MD
Ophthalmology Physician in Upland, California
NPI 1598296238

Chang Sup Lee is a Ophthalmology Physician based in Los Angeles, CA. Chang Sup Lee practices in Upland, CA and has the professional credentials of MD. The NPI Number for Chang Sup Lee is 1598296238 and holds a License No. (California).

The current practice location address for Chang Sup Lee is 555 N 13Th Ave, Upland, CA and can be reached out via phone at 800-345-8979 and via fax at 909-949-3967.

Location: 555 N 13Th Ave, Upland, CA, 90031-0309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598296238
Provider Name
Chang Sup Lee
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
555 N 13Th Ave, Upland, CA, 90031-0309
Phone Number
800-345-8979
Fax Number
909-949-3967
Provider Enumeration Date
03/24/2017
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
555 N 13Th Ave
City
Upland
State
California
Zip
91786-4904
Phone Number
800-345-8979
Fax Number
909-949-3967
person
Provider Business Mailing Address Details
Address
555 N 13Th Ave
City
Upland
State
California
Zip
91786-4904
Phone Number
800-345-8979
Fax Number
909-949-3967
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Ophthalmology
Speciality
-
Taxonomy
207W00000X
License No.
A172874 (California)
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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