Provider Demographics
NPI:1407968068
Name:LEE, RICHARD JOONKOO (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:JOONKOO
Last Name:LEE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3125 MYERS ST
Mailing Address - Street 2:RCDMH CHILDREN'S TREATMENT SERVICES
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92503-5527
Mailing Address - Country:US
Mailing Address - Phone:951-358-4840
Mailing Address - Fax:951-358-4848
Practice Address - Street 1:3125 MYERS ST
Practice Address - Street 2:RCDMH CHILDREN'S TREATMENT SERVICES
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92503-5527
Practice Address - Country:US
Practice Address - Phone:951-358-4840
Practice Address - Fax:951-358-4848
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2014-05-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA727012084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry