Provider Demographics
NPI:1720214687
Name:LEE & K MEDICAL INC.
Entity Type:Organization
Organization Name:LEE & K MEDICAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUK
Authorized Official - Middle Name:YONG
Authorized Official - Last Name:KANG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:949-261-7873
Mailing Address - Street 1:2691 RICHTER AVE
Mailing Address - Street 2:SUITE 131
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92606-5125
Mailing Address - Country:US
Mailing Address - Phone:949-261-7873
Mailing Address - Fax:949-261-7872
Practice Address - Street 1:2691 RICHTER AVE
Practice Address - Street 2:SUITE 131
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92606-5125
Practice Address - Country:US
Practice Address - Phone:949-261-7873
Practice Address - Fax:949-261-7872
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-05
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC30336111N00000X
CAAC9915171100000X
CAAC5468171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty