Individual
BRANDON LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1401 S GRAND AVE, LOS ANGELES, CA 90015-3010
(213) 748-2411
Mailing address
2090 S HARVARD BLVD, LOS ANGELES, CA 90018-1615
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4084
CA
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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