Provider Demographics
NPI:1972394054
Name:LEE, CHUN
Entity type:Individual
Prefix:
First Name:CHUN
Middle Name:
Last Name:LEE
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 1:14107 WINCHESTER BLVD STE O
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-1836
Mailing Address - Country:US
Mailing Address - Phone:408-868-5577
Mailing Address - Fax:408-877-4718
Practice Address - Street 1:14107 WINCHESTER BLVD STE O
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-1836
Practice Address - Country:US
Practice Address - Phone:408-868-5577
Practice Address - Fax:408-877-4718
Is Sole Proprietor?:No
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist