Individual
JONG WON LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
23622 CALABASAS RD, SUITE 148, CALABASAS, CA 91302-1549
(818) 963-8191
(818) 912-6759
Mailing address
23622 CALABASAS RD, SUITE 148, CALABASAS, CA 91302-1549
(818) 963-8191
(818) 912-6759
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
16691
CA
111NS0005X
Sports Physician Chiropractor
Primary
16691
CA
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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