Individual
DR. DEREK TAKYAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D, D.P.T.
Contact information
Practice address
1500 SAN PABLO ST FL 2, LOS ANGELES, CA 90033-5313
(323) 442-8541
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-8541
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A145718
CA
225100000X
Physical Therapist
26445
FL
Other
Enumeration date
07/06/2011
Last updated
12/03/2021
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