MEDICARE: MIN-HSI LEE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AC17549	CA

General Provider Information

NPI Number	:	1093236218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIN-HSI LEE

Provider Business Mailing Address
First Line	:	1286 KIFER RD STE 112
Second Line	:
City	:	SUNNYVALE
State	:	CA
Zip	:	94086-5326
Country	:	US
Telephone Number	:	408-530-9888
Fax Number	:

Provider Business Practice Location Address
First Line	:	490 BARBER LN
Second Line	:
City	:	MILPITAS
State	:	CA
Zip	:	95035-7998
Country	:	US
Telephone Number	:	408-530-9888
Fax Number	:	408-530-9889

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2017
Last Update Date	:	06/28/2017

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Directions to “ MIN-HSI LEE ” Practice Location

Language	Start Address	Practice Location

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