Individual
ELLEN EUN-OK LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9500 GILMAN DR, 9116A, LA JOLLA, CA 92093-1023
(858) 534-4040
(858) 822-0231
Mailing address
9500 GILMAN DR, 9116A, LA JOLLA, CA 92093-1023
(858) 534-4040
(858) 822-0231
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A134311
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2011
Last updated
06/16/2015
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