Individual
MING JUN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDO
Contact information
Practice address
308 W VALLEY BLVD, ALHAMBRA, CA 91803-3338
(626) 300-8519
Mailing address
308 W VALLEY BLVD, ALHAMBRA, CA 91803-3338
(626) 300-8519
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
SL 2954
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DX.0039610
—
CA
Enumeration date
05/03/2007
Last updated
07/08/2007
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