Individual
DR. CHANGNIN TERENCE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
203 N BREA BLVD STE 100, BREA, CA 92821-4056
(714) 256-0777
(714) 256-0105
Mailing address
203 N BREA BLVD STE 100, BREA, CA 92821-4056
(714) 256-0777
(714) 256-0105
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G074495
CA
Other
Enumeration date
11/21/2007
Last updated
11/30/2007
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