Individual
ELIZABETH SOOBIN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1414 S GRAND AVE STE 380, LOS ANGELES, CA 90015-3072
(213) 745-6047
Mailing address
1513 CAMDEN PL, FULLERTON, CA 92833-2049
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA64578
CA
Other
Enumeration date
07/15/2022
Last updated
09/02/2024
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