Provider Demographics
NPI:1477896801
Name:LEE, JOONHEE
Entity Type:Individual
Prefix:
First Name:JOONHEE
Middle Name:
Last Name:LEE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 S VERMONT AVE
Mailing Address - Street 2:#204
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90005-1560
Mailing Address - Country:US
Mailing Address - Phone:213-480-3114
Mailing Address - Fax:
Practice Address - Street 1:801 S VERMONT AVE
Practice Address - Street 2:#204
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90005-1560
Practice Address - Country:US
Practice Address - Phone:213-480-3114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-04
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC14518171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist