person
Dr. Sang Dae Lee, DPM
Foot & Ankle Surgery Podiatrist in San Bernardino, California
NPI 1780694356

Sang Dae Lee is a Foot & Ankle Surgery Podiatrist based in Brea, CA and is specialized in Foot & Ankle Surgery. Sang Dae Lee practices in San Bernardino, CA and has the professional credentials of DPM. The NPI Number for Sang Dae Lee is 1780694356 and holds a License No. E4416 (California).

The current practice location address for Sang Dae Lee is 2095 N Waterman Ave, San Bernardino, CA and can be reached out via phone at 909-882-3800 and via fax at 909-882-3380.

Location: 2095 N Waterman Ave, San Bernardino, CA, 92823-1040
person
Provider Profile Details
NPI Number
1780694356
Provider Name
Sang Dae Lee
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
2095 N Waterman Ave, San Bernardino, CA, 92823-1040
Phone Number
909-882-3800
Fax Number
909-882-3380
Provider Enumeration Date
08/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0253335 05 CA
000E44161 05 CA
P00147789 01 CA RAILROAD
institution
Provider Business Practice Location Address Details
Address
2095 N Waterman Ave
City
State
Zip
92404-4834
Phone Number
909-882-3800
Fax Number
909-882-3380
person
Provider Business Mailing Address Details
Address
2095 N Waterman Ave
City
State
Zip
92404-4834
Phone Number
909-882-3800
Fax Number
909-882-3380
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
E4416 (California)
Definition
Definition to come...
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