Individual
KATHRYN SOH YOON LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, RD
Contact information
Practice address
16550 VENTURA BLVD STE 318, ENCINO, CA 91436-5003
(310) 500-9492
Mailing address
16550 VENTURA BLVD STE 318, ENCINO, CA 91436-5003
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1022322
CA
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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