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Individual

DR. CHI MIN LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
621 S VIRGIL AVE STE 252, LOS ANGELES, CA 90005
(213) 263-9962
(213) 263-9019
Mailing address
621 S VIRGIL AVE STE 252, LOS ANGELES, CA 90005-4021
(213) 263-9962
(213) 263-9019

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
29963
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
29963
CALIFORNIA CHIROPRACTIC LICENSE
CA
Enumeration date
02/13/2008
Last updated
03/19/2020
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