Provider Demographics
NPI:1033367933
Name:LEE, KWOK CHING (DC)
Entity Type:Individual
Prefix:
First Name:KWOK
Middle Name:CHING
Last Name:LEE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:HARRIS
Other - Middle Name:KWOK-CHING
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:39159 PASEO PADRE PKWY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538
Mailing Address - Country:US
Mailing Address - Phone:510-220-8211
Mailing Address - Fax:510-979-9659
Practice Address - Street 1:39159 PASEO PADRE PKWY
Practice Address - Street 2:SUITE 101
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538
Practice Address - Country:US
Practice Address - Phone:510-220-8211
Practice Address - Fax:510-979-9659
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-04
Last Update Date:2008-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30772111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor