Simon Yoon Lee
Acupuncturist in Van Nuys, CA. Individual provider (NPI-1).
NPI number1104152560
StatusActive
Last updated in NPPESOct 20, 2009
Details
- NPI
- 1104152560
- Entity type
- Individual (NPI-1)
- Name
- Simon Yoon Lee
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 20, 2009
- Last updated
- Oct 20, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | ac12052 | CA | Yes |
Practice location
14136 Haynes StVan Nuys, CA 91401
Phone 213-249-0561
Mailing address
14136 Haynes StVan Nuys, CA 91401
Phone 213-249-0561
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