Tae Joon Lee
Individual provider Active NPI Acupuncturist · Romoland, CA
NPI 1750159182 · NPPES record last updated Dec 14, 2023
Key facts
- NPI
- 1750159182
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- Practice address
- 30250 Gunther Rd
Romoland, CA 92585-9758 - Phone
- (213) 369-0396
- NPI assigned
- Dec 14, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | Yes |
Addresses
Primary practice location
30250 Gunther Rd
Romoland, CA 92585-9758
Mailing address
30250 Gunther Rd
Romoland, CA 92585-9758
Phone (213) 369-0396
Other providers in Romoland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.