Provider Demographics
NPI:1376127423
Name:DR. LEE'S FAMILY CHIROPRACTIC
Entity Type:Organization
Organization Name:DR. LEE'S FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:LEE
Authorized Official - Middle Name:
Authorized Official - Last Name:SANG WOOK
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:747-206-5288
Mailing Address - Street 1:20061 SATICOY ST STE 101
Mailing Address - Street 2:
Mailing Address - City:WINNETKA
Mailing Address - State:CA
Mailing Address - Zip Code:91306-2692
Mailing Address - Country:US
Mailing Address - Phone:747-206-5288
Mailing Address - Fax:
Practice Address - Street 1:20061 SATICOY ST STE 101
Practice Address - Street 2:
Practice Address - City:WINNETKA
Practice Address - State:CA
Practice Address - Zip Code:91306-2692
Practice Address - Country:US
Practice Address - Phone:747-206-5288
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DR. LEE'S FAMILY CHIROPRACTIC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-05-05
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty