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Organization
INNOVATIVE MEDICINE
Active
Organization
INNOVATIVE MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TSZ YING LEE M.D. (MEDICAL DIRECTOR)
(231) 415-1990
Entity
Organization
Contact information
Practice address
811 WILSHIRE BLVD, SUITE 110, LOS ANGELES, CA 90017-2606
(213) 415-1990
(213) 415-1940
Mailing address
811 WILSHIRE BLVD, SUITE 110, LOS ANGELES, CA 90017-2606
(213) 415-1990
(213) 415-1940
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A99205
CA
225100000X
Physical Therapist
Primary
PT40619
CA
Other
Enumeration date
11/14/2014
Last updated
11/14/2014
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