Individual
MR. ANDY DONG LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
23861 MCBEAN PKWY STE A3, VALENCIA, CA 91355-2085
(661) 253-9986
(661) 253-9987
Mailing address
23861 MCBEAN PKWY STE A3, VALENCIA, CA 91355-2085
(661) 253-9986
(661) 253-9987
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC6980
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA0069800
BLUESHIELD
CA
05
—
CA0069800
—
CA
Enumeration date
11/17/2006
Last updated
07/09/2007
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