Search › California › 207W00000X
Chang Sup Lee, MD
NPI 1598296238 · on the registry since 2017
Practice
- Address
- 520 S Virgil Ave Ste 103
Los Angeles, CA 90020 - Phone
- (404) 783-3508
- Fax
- (213) 297-7978
- Organisation at this address
- Brian Huh Inc.
Shyn'S Pharmacy
James J Kim Md Inc
Chang Sup Lee Md Pc
Jong S Yoon Dmd IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 35
Additional practice sites
- 1450 San Pablo St Ste 400, Los Angeles, CA
- 555 N 13th Ave, Upland, CA
Registry record
- Primary taxonomy
- 207W00000X
207W00000X
- Also registered as
- 207WX0107X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-04-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California