CHANG SUP LEE

UPLAND, CA
NPI1598296238
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207W00000X Ophthalmology
(Licence: CA  A172874)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-03-24
Last Update Date2024-08-07
Business Address
Dr. CHANG SUP LEE MD
555 N 13TH AVE
UPLAND, CA 91786-4904
Phone number: 800-345-8979
Mailing Address
Dr. CHANG SUP LEE MD
PO BOX 31309
LOS ANGELES, CA 90031-0309
Phone number: 626-457-6601