| Kevin E Lee | |
|
8320 Mission Blvd 4 Jurupa Valley CA 92509-2970 | |
| (951) 329-9086 | |
| (951) 777-2066 |
| Full Name | Kevin E Lee |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8320 Mission Blvd, Jurupa Valley, California |
| Authorized Official Name and Position | Kevin Eugene Lee (OWNER) |
| Authorized Official Contact | 9099175672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin E Lee 8320 Mission Blvd Ste 4 Riverside CA 92509-2970 Ph: (951) 329-9086 | Kevin E Lee 8320 Mission Blvd 4 Jurupa Valley CA 92509-2970 Ph: (951) 329-9086 |
| NPI Number | 1942632732 |
|---|---|
| Provider Enumeration Date | 08/02/2013 |
| Last Update Date | 08/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942632732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MFC169650 (California) | Primary |
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