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Individual

MR. CHANG YONG LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.AC

Contact information

Practice address
7700 ORANGETHORPE AVE STE 5, BUENA PARK, CA 90621-1217
(714) 715-2018
Mailing address
2366 APPLEWOOD CIR, FULLERTON, CA 92833-1217
(714) 980-0130

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
16277
CA
225700000X
Massage Therapist
36327
CA

Other

Enumeration date
08/13/2017
Last updated
01/15/2020
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