Bongsoo Edwin Lee
Chiropractic Sports Physician
4305 Torrance Blvd Suite 400
Torrance
, California 90503-4409
Bongsoo Edwin Lee
Chiropractic Sports Physician
4305 Torrance Blvd Suite 400
Torrance
, California 90503-4409
(310) 530-3032
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Bongsoo Edwin Lee
- 4305 Torrance Blvd. Suite 400
- Torrance, CA
- Zip : 90503-4404
- Phone : (310) 530-3032
Second Address
- Bongsoo Edwin Lee
- 4305 Torrance Blvd Suite 400
- Torrance, CA
- Zip : 90503-4409
- Phone : (310) 530-3032
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | 20285 | CA |
National Provider Identifier
| NPI | 1285721589 |
|---|---|
| Provider Name | Bongsoo Edwin Lee |
| First Address | Torrance, CA 90503-4404 |
| Second Address | Torrance, CA 90503-4409 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/10/2006 |
| Last Update Date | 31/12/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U36737 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.