Individual
DR. CHANG JOON LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4811 FLORENCE AVE, BELL, CA 90201-4316
(323) 562-3180
(323) 562-4979
Mailing address
4811 FLORENCE AVE, BELL, CA 90201-4316
(323) 562-3180
(323) 562-4979
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A36129
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A361290
—
CA
Enumeration date
10/27/2006
Last updated
07/08/2007
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