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NPI Code Detail

MEDICARE: DR. ANDREW CHOONKOO LEE PHARM D

MEDICARE: DR. ANDREW CHOONKOO LEE PHARM D
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
1183500000XPharmacist50259CA

General Provider Information

NPI Number : 1306113311
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW CHOONKOO LEE PHARM D
Provider Business Mailing Address
First Line : 3200 LA ROTONDA DR UNIT 312
Second Line :
City : RANCHO PALOS VERDES
State : CA
Zip : 90275-6151
Country : US
Telephone Number : 310-541-3120
Fax Number :
Provider Business Practice Location Address
First Line : 8770 W PICO BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90035-2211
Country : US
Telephone Number : 310-275-2117
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2011
Last Update Date : 11/18/2011

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