| Dr. Kwang Lee Wellness Center, Inc. | |
|
440 Shatto Pl # 201-a, Los Angeles, CA 90020-1793 | |
| (213) 446-5935 | |
| Not Available |
| Full Name | Dr. Kwang Lee Wellness Center, Inc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 440 Shatto Pl # 201-a, Los Angeles, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811674849 | NPI | - | NPPES |
| DC28510 | Other | CA | CHIROPRACTOR |
| AC6428 | Other | CA | ACUPUNCTURIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| Provider Name | Kwang Yup Lee |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1548960867 PECOS PAC ID: 5991168411 Enrollment ID: I20230831002603 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Kwang Lee Wellness Center, Inc. 440 Shatto Pl # 201-a, Los Angeles, CA 90020-1793 Ph: (213) 446-5935 | Dr. Kwang Lee Wellness Center, Inc. 440 Shatto Pl # 201-a, Los Angeles, CA 90020-1793 Ph: (213) 446-5935 |
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