Soo-Min S Lee, NP
Nurse Practitioner in Los Angeles, CA. Individual provider (NPI-1).
NPI number1649296997
StatusActive
Last updated in NPPESNov 10, 2021
Details
- NPI
- 1649296997
- Entity type
- Individual (NPI-1)
- Name
- Soo-Min S Lee
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2006
- Certification date
- Nov 10, 2021
- Last updated
- Nov 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | NP13712 | CA | Yes |
Practice location
200 Ucla Medical Plz Ste 526Los Angeles, CA 90095-8344
Phone 310-206-6294
Mailing address
5767 W Century BlvdSuite 400
Los Angeles, CA 90045-5631
Other practice locations
10833 Le Conte Ave
Los Angeles, CA 90095
Los Angeles, CA 90095
Phone 310-825-9820
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