Organization
TRI-STAR MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YONG LEE (PRESIDENT)
(323) 277-8100
Entity
Organization
Contact information
Practice address
5524 PACIFIC BLVD, HUNTINGTON PARK, CA 90255-2535
(323) 277-8100
(323) 277-4630
Mailing address
5524 PACIFIC BLVD, HUNTINGTON PARK, CA 90255-2535
(323) 277-8100
(323) 277-4630
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
CA
207RG0100X
Gastroenterology Physician
Primary
—
CA
207X00000X
Orthopaedic Surgery Physician
—
CA
Other
Enumeration date
05/09/2008
Last updated
05/09/2008
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