Individual
CHRIS IKJOON LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18897-B COLIMA RD., ROWLAND HEIGHTS, CA 91748-2977
(626) 913-8010
(626) 913-0737
Mailing address
18897 COLIMA RD, STE B, ROWLAND HEIGHTS, CA 91748-2977
(626) 913-8010
(877) 412-9783
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A88926
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A889260
—
CA
05
—
2576536
—
CA
Enumeration date
01/23/2006
Last updated
09/11/2019
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