Individual
SOO HYUN SANDY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 S WESTMORELAND AVE, LOS ANGELES, CA 90005-3902
(877) 883-7264
Mailing address
321 ALSTER AVE, ARCADIA, CA 91006-4725
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
95012032
CA
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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