Provider Demographics
NPI:1093236218
Name:LEE, MIN-HSI
Entity Type:Individual
Prefix:
First Name:MIN-HSI
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1286 KIFER RD STE 112
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94086-5326
Mailing Address - Country:US
Mailing Address - Phone:408-530-9888
Mailing Address - Fax:
Practice Address - Street 1:490 BARBER LN
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-7998
Practice Address - Country:US
Practice Address - Phone:408-530-9888
Practice Address - Fax:408-530-9889
Is Sole Proprietor?:No
Enumeration Date:2017-06-28
Last Update Date:2017-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC17549171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist