Healthcare Provider Details

I. General information

NPI: 1609944958
Provider Name (Legal Business Name): MIN HEE LEE AMD LAC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2006
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 N BROOKHURST ST STE 230
ANAHEIM CA
92801-5238
US

IV. Provider business mailing address

520 N BROOKHURST ST STE 230
ANAHEIM CA
92801-5238
US

V. Phone/Fax

Practice location:
  • Phone: 213-385-6688
  • Fax: 213-385-2362
Mailing address:
  • Phone: 213-385-6688
  • Fax: 213-385-2362

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC3184
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: