Individual
MR. SEONGHO LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
970 S KINGSLEY DR APT 310, LOS ANGELES, CA 90006-6229
(213) 769-3545
Mailing address
970 S KINGSLEY DR APT 310, LOS ANGELES, CA 90006-6229
(213) 769-3545
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
48973
CA
Other
Enumeration date
01/20/2021
Last updated
04/03/2023
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