Individual
YOUNG SOO LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2151 N HARBOR BLVD STE 1500, FULLERTON, CA 92835-3823
(714) 446-5632
(714) 992-3081
Mailing address
PO BOX 513969, LOS ANGELES, CA 90051-3969
(310) 335-4065
(310) 335-4098
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
G63908
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G639080
—
CA
Enumeration date
07/18/2005
Last updated
06/01/2015
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