NPI 1780694356
Sang Dae Lee, DPM
Practice location
- Address
- 2095 N Waterman Ave, San Bernardino, CA 92404-4834
- Phone
- (909) 882-3800
- Fax
- (909) 882-3380
- Mailing address
- 467 Redtail Dr, Brea, CA 92823-1040
Registered specialties
Foot & Ankle Surgery Podiatrist
Primary
Registry record
- NPI
- 1780694356
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 8 Aug 2006
- Record last updated
- 11 Sep 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.