Individual
MR. BUM SOO LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12511 BROOKHURST ST. SUITE 200, GARDEN GROVE, CA 92840
(714) 643-7176
(714) 643-7180
Mailing address
12511 BROOKHURST ST. SUITE 200, GARDEN GROVE, CA 92840
(714) 643-7176
(714) 643-7180
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A34022
CA
Other
Enumeration date
11/16/2006
Last updated
04/04/2016
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