DIANA J LEE

SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP

Dr DIANA J LEE is a female medical professional, specializing in Optometry. She graduated in 1985 from Southern California College Of Optometry.

Contact

SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP

2295 S VINEYARD AVE
ONTARIO
CA
917617925

Tel: 9097245000

DIANA J LEE Information

Npi 1467529206
Pac Id 0547452252
Professional Enrollment Id I20101012001320
Last Name LEE
First Name DIANA
Middle Name J
Suffix
Gender F
Credential
Medical School Name SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduation Year 1985
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Group Practice Pac Id 6002729175
Number Of Group Practice Members 8118
Line 1 Street Address 2295 S VINEYARD AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ONTARIO
State CA
Zip Code 917617925
Phone Number 9097245000
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
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Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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