Individual
DR. BRYAN XIAO-QIU LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
250 W BONITA AVE, SUITE 160, POMONA, CA 91767-1863
(909) 593-1002
(909) 593-1004
Mailing address
PO BOX 2240, WALNUT, CA 91788-2240
(909) 593-1002
(909) 593-1004
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A91137
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
A91137
CA
208VP0000X
Pain Medicine Physician
A91137
CA
208VP0014X
Interventional Pain Medicine Physician
Primary
A91137
CA
Other
Enumeration date
12/11/2006
Last updated
04/26/2019
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