Provider Demographics
NPI:1356568042
Name:LEE, HYONG CHOL (LAC)
Entity type:Individual
Prefix:
First Name:HYONG CHOL
Middle Name:
Last Name:LEE
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
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Mailing Address - Street 1:16444 PARAMOUNT BLVD STE 208
Mailing Address - Street 2:
Mailing Address - City:PARAMOUNT
Mailing Address - State:CA
Mailing Address - Zip Code:90723-5454
Mailing Address - Country:US
Mailing Address - Phone:213-447-3538
Mailing Address - Fax:562-444-0701
Practice Address - Street 1:16444 PARAMOUNT BLVD STE 208
Practice Address - Street 2:
Practice Address - City:PARAMOUNT
Practice Address - State:CA
Practice Address - Zip Code:90723-5454
Practice Address - Country:US
Practice Address - Phone:310-639-3445
Practice Address - Fax:562-444-0701
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2018-10-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAAC9039171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist