Individual
BOG RYUL LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.A.C
Contact information
Practice address
11441 HEACOCK ST, SUITE #B2, MORENO VALLEY, CA 92557-7907
(951) 571-0075
(951) 571-4155
Mailing address
11441 HEACOCK ST, SUITE #B2, MORENO VALLEY, CA 92557-7907
(951) 571-0075
(951) 571-4155
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 10852
CA
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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