Vivian Lee
Student in an Organized Health Care Education/Training Program in Los Angeles, CA. Individual provider (NPI-1).
NPI number1083173363
StatusActive
Last updated in NPPESOct 26, 2022
Details
- NPI
- 1083173363
- Entity type
- Individual (NPI-1)
- Name
- Vivian Lee
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 17, 2019
- Certification date
- Oct 26, 2022
- Last updated
- Oct 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1200 N State St Ste A7dLos Angeles, CA 90089-1001
Phone 323-409-7556
Mailing address
1200 N State St Ste A7dLos Angeles, CA 90089-1001
Phone 323-409-7556
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