Provider Demographics
NPI:1407989858
Name:LEE, HSIN-YUEH LEON (LAC)
Entity Type:Individual
Prefix:
First Name:HSIN-YUEH
Middle Name:LEON
Last Name:LEE
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:HSIN-YUEH
Other - Middle Name:
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAC
Mailing Address - Street 1:11475 YORBA AVE
Mailing Address - Street 2:
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-1764
Mailing Address - Country:US
Mailing Address - Phone:909-590-9398
Mailing Address - Fax:
Practice Address - Street 1:520 W 17TH ST
Practice Address - Street 2:SUITE 3
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92706-3614
Practice Address - Country:US
Practice Address - Phone:714-973-8911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC10971171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist