Organization
CHANG SUP LEE MD PC
Active
Other names
ClearVision Retina
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANG SUP LEE MD (PRESIDENT)
(213) 224-2020
Entity
Organization
Contact information
Practice address
520 S VIRGIL AVE STE 103, LOS ANGELES, CA 90020-1425
(213) 224-2020
(213) 444-4426
Mailing address
520 S VIRGIL AVE STE 103, LOS ANGELES, CA 90020-1425
(213) 224-2020
(213) 444-4426
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
03/09/2026
Last updated
04/30/2026
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