Provider Demographics
NPI:1235700469
Name:LEE, JOSHUA DOANGOU (DO)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:DOANGOU
Last Name:LEE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3660 E COLORADO BLVD # 1131
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-3870
Mailing Address - Country:US
Mailing Address - Phone:626-282-3999
Mailing Address - Fax:
Practice Address - Street 1:723 S GARFIELD AVE STE 201
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-4429
Practice Address - Country:US
Practice Address - Phone:626-282-3999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-08
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22513207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty