Provider Demographics
NPI:1497823637
Name:LEE, JUNGHOON II
Entity Type:Individual
Prefix:MR
First Name:JUNGHOON
Middle Name:
Last Name:LEE
Suffix:II
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 1:6463 TILIA PL
Mailing Address - Street 2:#207
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92011-2719
Mailing Address - Country:US
Mailing Address - Phone:858-484-4242
Mailing Address - Fax:858-484-4002
Practice Address - Street 1:12798 RANCHO PENASQUITOS BL
Practice Address - Street 2:STE.J
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92129
Practice Address - Country:US
Practice Address - Phone:858-484-4242
Practice Address - Fax:858-484-4002
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9942171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist