Individual
SEUNG EUN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1426 AVIATION BLVD STE 204, REDONDO BEACH, CA 90278-4062
(310) 798-8899
Mailing address
15528 CORDARY AVE, LAWNDALE, CA 90260-3527
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
296840
CA
261QP2000X
Physical Therapy Clinic/Center
Primary
296840
CA
Other
Enumeration date
07/19/2019
Last updated
11/06/2019
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