Individual
BLAKE A CHIN-LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20790 MADRONA AVE, TORRANCE, CA 90503-3777
(800) 780-1230
Mailing address
20790 MADRONA AVE, TORRANCE, CA 90503-3777
(800) 780-1230
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A126699
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390200000X
STUDENT IN AN ORGANIZED HEALTH CARE EDUCATION/TRAINING
CA
Enumeration date
03/19/2012
Last updated
12/01/2021
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