Search › California › 171100000X
Choongbae Lee
NPI 1770063299 · on the registry since 2018 · sole proprietor
Practice
- Address
- 12156 Adrian St Apt 9-312
Garden Grove, CA 92840 - Phone
- (714) 603-2625
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-08-14
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