Individual
EUNA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
101 THE CITY DR S, DOUGLAS HOSPITAL, 3200, ORANGE, CA 92868-3201
(714) 456-7012
Mailing address
11432 SOUTH ST # 153, CERRITOS, CA 90703-6611
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
565595
NY
163W00000X
Registered Nurse
95030088
CA
363LF0000X
Family Nurse Practitioner
Primary
95001098
CA
363LF0000X
Family Nurse Practitioner
F338254
NY
Other
Enumeration date
10/22/2014
Last updated
11/22/2015
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