Individual
BOBAE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6001 E WASHINGTON BLVD, COMMERCE, CA 90040-2451
(562) 928-9600
(323) 477-1738
Mailing address
541 S KROEGER ST, ANAHEIM, CA 92805-4728
(970) 631-9729
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
64638
CA
Other
Enumeration date
08/03/2024
Last updated
10/09/2024
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