Individual
MELISSA SUJIN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, AGPCNP-BC, RN
Contact information
Practice address
2250 ALCAZAR ST, CSC 200, LOS ANGELES, CA 90089-1001
(323) 442-2872
(323) 442-2082
Mailing address
5233 MARYLAND AVE, LA CRESCENTA, CA 91214-1218
(818) 245-0834
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95086641
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
95017666
CA
Other
Enumeration date
09/14/2021
Last updated
06/26/2023
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