Provider Demographics
NPI:1881365948
Name:LEE, HELEN H (ACUPUNCTURIST)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:H
Last Name:LEE
Suffix:
Gender:F
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1308 S NEW HAMPSHIRE AVE APT 302
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90006-4547
Mailing Address - Country:US
Mailing Address - Phone:213-598-1198
Mailing Address - Fax:
Practice Address - Street 1:1308 S NEW HAMPSHIRE AVE APT 302
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90006-4547
Practice Address - Country:US
Practice Address - Phone:213-598-1198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-27
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18947171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist