Individual provider · Type 1 NPI
Brian Kisub Lee, DC
Chiropractor · Los Angeles, CA
NPI number
1295296598
Active
Practice location
3948 Wilshire Blvd # 200
Los Angeles, CA 90010-3303
Fax (323) 289-8603
Mailing address
835 S Lucerne Blvd Apt 112
Los Angeles, CA 90005-3783
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 33875 (CA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1295296598
Brian Kisub Lee, DC's National Provider Identifier is 1295296598, issued on Mar 28, 2019. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 30, 2020.