Individual
DANIELLE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5205 MELROSE AVE, LOS ANGELES, CA 90038-3144
(323) 653-1990
Mailing address
1654 LA RAMADA AVE, ARCADIA, CA 91006-1822
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA62873
CA
Other
Enumeration date
07/13/2022
Last updated
12/19/2025
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