Provider Demographics
NPI:1558974667
Name:SANG DO LEE CHIROPRACTIC
Entity Type:Organization
Organization Name:SANG DO LEE CHIROPRACTIC
Other - Org Name:S CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SANG
Authorized Official - Middle Name:DO
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:714-381-1777
Mailing Address - Street 1:8362 ARTESIA BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90621-4177
Mailing Address - Country:US
Mailing Address - Phone:714-381-1777
Mailing Address - Fax:714-707-3031
Practice Address - Street 1:8362 ARTESIA BLVD STE C
Practice Address - Street 2:
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90621-4177
Practice Address - Country:US
Practice Address - Phone:714-381-1777
Practice Address - Fax:714-707-3031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-28
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty