Provider Demographics
NPI:1275240772
Name:LEE, YE RIN
Entity Type:Individual
Prefix:
First Name:YE RIN
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 1:18700 YORBA LINDA BLVD APT 77
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92886-4152
Mailing Address - Country:US
Mailing Address - Phone:714-356-6048
Mailing Address - Fax:
Practice Address - Street 1:18700 YORBA LINDA BLVD APT 77
Practice Address - Street 2:
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92886-4152
Practice Address - Country:US
Practice Address - Phone:714-356-6048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-03
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist