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Individual

BRIAN KISUB LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
3948 WILSHIRE BLVD # 200, LOS ANGELES, CA 90010-3303
(323) 289-8601
(323) 289-8603
Mailing address
835 S LUCERNE BLVD APT 112, LOS ANGELES, CA 90005-3783
(213) 210-8763

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
33875
CA

Other

Enumeration date
03/28/2019
Last updated
07/30/2020
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