Provider Demographics
NPI:1730494006
Name:LEE, A-REUM (DPT, L AC)
Entity Type:Individual
Prefix:
First Name:A-REUM
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:DPT, L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9675 BRIGHTON WAY
Mailing Address - Street 2:SUITE 250
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210
Mailing Address - Country:US
Mailing Address - Phone:310-278-5337
Mailing Address - Fax:310-278-6204
Practice Address - Street 1:9675 BRIGHTON WAY
Practice Address - Street 2:SUITE 250
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210
Practice Address - Country:US
Practice Address - Phone:310-278-5337
Practice Address - Fax:310-278-6204
Is Sole Proprietor?:No
Enumeration Date:2010-08-11
Last Update Date:2015-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT36902225100000X
CAAC16780171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No171100000XOther Service ProvidersAcupuncturist