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NPI Code Detail

MEDICARE: DAE S. LEE, D.C. INC., A CHIROPRACTIC CORPORATION

MEDICARE: DAE S. LEE, D.C. INC., A CHIROPRACTIC CORPORATION
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
1111N00000XChiropractorDC27623CA

General Provider Information

NPI Number : 1124405444
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAE S. LEE, D.C. INC., A CHIROPRACTIC CORPORATION
Provider Business Mailing Address
First Line : 25285 MADISON AVE
Second Line : SUITE 108
City : MURRIETA
State : CA
Zip : 92562-8981
Country : US
Telephone Number : 951-600-8198
Fax Number : 951-698-4932
Provider Business Practice Location Address
First Line : 25285 MADISON AVE
Second Line : SUITE 108
City : MURRIETA
State : CA
Zip : 92562-8981
Country : US
Telephone Number : 951-600-8198
Fax Number : 951-698-4932
Authorized Official
Title or Position : OWNER
Name : DAE SUP LEE
Credential : D.C.
Telephone Number : 951-600-8198
Provider Enumeration Date : 05/06/2015
Last Update Date : 02/29/2024

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Directions to “DAE S. LEE, D.C. INC., A CHIROPRACTIC CORPORATION ” Practice Location

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