Individual
MINHYOUNG LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 S BEACH BLVD STE 216, LA HABRA, CA 90631-1184
(213) 565-1250
Mailing address
1201 S BEACH BLVD STE 216, LA HABRA, CA 90631-1184
(213) 814-9377
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
232754208
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D7700780
MEDICAL SUPPLIER
CA
Enumeration date
03/07/2023
Last updated
03/07/2023
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