Individual provider · NPI-1

Sunyoung Christy Lee, NP

Nurse Practitioner, Primary Care · La Habra, CA

NPI number1790462166
StatusActive
Last updated in NPPESJun 28, 2023

Details

NPI
1790462166
Entity type
Individual (NPI-1)
Name
Sunyoung Christy Lee
Credential
NP
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 28, 2023
Certification date
Jun 15, 2023
Last updated
Jun 28, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP2300X Nurse Practitioner, Primary Care95025155CAYes

Practice location

841 W Pebble Beach Ave
La Habra, CA 90631-2009

Phone 714-722-7979

Mailing address

841 W Pebble Beach Ave
La Habra, CA 90631-2009

Phone 714-722-7979

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