Organization
KIM LEE ENTERPRISE AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY LEE NP (OWNER)
(424) 223-0421
Entity
Organization
Contact information
Practice address
10511 S WESTERN AVE, LOS ANGELES, CA 90047-4458
(424) 223-0421
Mailing address
10511 S WESTERN AVE, LOS ANGELES, CA 90047-4458
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/15/2020
Last updated
07/02/2021
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