Individual provider · Type 1 NPI

Bryanna J. Lee

General Practice Physician · San Diego, CA

NPI number 1104621457 Active

Practice location

6873 Fashion Hills Blvd
San Diego, CA 92111-7653

Call (213) 308-4408 Map

Mailing address

1633 N Edgemont St Apt 417
Los Angeles, CA 90027-6611

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X22067 (CA)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1104621457

Bryanna J. Lee's National Provider Identifier is 1104621457, issued on Feb 19, 2025. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in San Diego, CA. The record was last updated on Oct 11, 2026.