Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan Lee

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1801736996

Ethan Lee is a Student in an Organized Health Care Education/Training Program in Fontana, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

17234 Valley Blvd Bldg A
Fontana, CA 92335-6720
Phone: (909) 427-4128
Fax: (909) 427-6288
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (CA)

Record details

NPI number1801736996
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 30, 2026
Last updated in NPPESMarch 30, 2026
Certification dateMarch 24, 2026

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