Individual provider · NPI-1

Dr. Bryan Xiao-Qiu Lee, MD

Pain Medicine, Interventional Pain Medicine · Pomona, CA

NPI number1467512624
StatusActive
Last updated in NPPESApr 26, 2019

Details

NPI
1467512624
Entity type
Individual (NPI-1)
Name
Dr. Bryan Xiao-Qiu Lee
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Dec 11, 2006
Last updated
Apr 26, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208VP0014X Pain Medicine, Interventional Pain MedicineA91137CAYes
207L00000X AnesthesiologyA91137CA
207LP2900X Anesthesiology, Pain MedicineA91137CA
208VP0000X A91137CA

Practice location

250 W Bonita Ave
Suite 160
Pomona, CA 91767-1863

Phone 909-593-1002 · Fax 909-593-1004

Mailing address

Po Box 2240
Walnut, CA 91788-2240

Phone 909-593-1002 · Fax 909-593-1004

Other practice locations

12442 Limonite Ave Unit 211
Eastvale, CA 91752-2467

Phone 909-593-1002 · Fax 909-593-1004

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