Provider Demographics
NPI:1568497568
Name:RHEE, SANG J
Entity Type:Individual
Prefix:DR
First Name:SANG
Middle Name:J
Last Name:RHEE
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 1:1530 S POMONA AVE
Mailing Address - Street 2:UNIT B29
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92832-3462
Mailing Address - Country:US
Mailing Address - Phone:714-926-4118
Mailing Address - Fax:
Practice Address - Street 1:421 N BROOKHURST ST
Practice Address - Street 2:STE 124
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-5637
Practice Address - Country:US
Practice Address - Phone:714-782-7855
Practice Address - Fax:714-783-7909
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29652111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor