Individual provider · Type 1 NPI

Mai Der Lee

Medical Physician Assistant · Fresno, CA

NPI number 1124964986 Active

Practice location

4871 E Kings Canyon Rd
Fresno, CA 93727-3811

Mailing address

4855 E Cesar Chavez Blvd
Fresno, CA 93727-3811

Other practice locations

  • 4879 E Kings Canyon Rd, Fresno, CA 93727-3811 · (559) 255-8395
  • 4855 E Kings Canyon Rd, Fresno, CA 93727-3811 · (559) 390-0963

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1124964986

Mai Der Lee's National Provider Identifier is 1124964986, issued on Apr 24, 2026. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fresno, CA. The record was last updated on Jun 5, 2026.