Individual
JOHN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8929 WILSHIRE BLVD, #304, BEVERLY HILLS, CA 90211-1938
(310) 854-0529
(310) 854-0768
Mailing address
906 MICHELLE CT, #213, MONTEBELLO, CA 90640-3465
(909) 964-3375
(909) 620-9800
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 9921
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB224263
MEDICARE PTAN
CA
Enumeration date
10/17/2014
Last updated
12/30/2016
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