Individual
MS. JUNGSOO LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
3114 W BEVERLY BLVD, MONTEBELLO, CA 90640-2217
(323) 726-3868
(323) 726-3870
Mailing address
2031 20TH ST APT D, SANTA MONICA, CA 90404-4750
(310) 866-7888
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95023879
CA
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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