Individual
BONGSOO EDWIN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4305 TORRANCE BLVD, SUITE 400, TORRANCE, CA 90503-4409
(310) 530-3032
Mailing address
4305 TORRANCE BLVD., SUITE 400, TORRANCE, CA 90503-4404
(310) 530-3032
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
20285
CA
Other
Enumeration date
10/06/2006
Last updated
12/31/2008
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