Individual
LING JIA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1920 SAWTELLE BLVD APT 108, LOS ANGELES, CA 90025-7039
(337) 356-1803
Mailing address
1920 SAWTELLE BLVD APT 108, LOS ANGELES, CA 90025-7039
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86291960
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y1594699
DRIVER'S LICENSE
CA
Enumeration date
09/28/2022
Last updated
09/28/2022
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