Individual
BRYAN JEONGROK LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
1401 S BROOKHURST RD STE 107, FULLERTON, CA 92833-4492
(951) 201-3001
Mailing address
1401 S BROOKHURST RD STE 107, FULLERTON, CA 92833-4492
(714) 603-9088
(714) 872-9230
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC14610
CA
Other
Enumeration date
03/12/2015
Last updated
07/24/2024
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