Healthcare Provider Details

I. General information

NPI: 1003134552
Provider Name (Legal Business Name): MR. ROMEO V ANG LEE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: MR. ROMEO V ANG LEE

II. Dates (important events)

Enumeration Date: 05/07/2010
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 S EUCLID ST
ANAHEIM CA
92802-1011
US

IV. Provider business mailing address

1826 TAFT LN
PLACENTIA CA
92870-7438
US

V. Phone/Fax

Practice location:
  • Phone: 714-422-1121
  • Fax:
Mailing address:
  • Phone: 714-529-2176
  • Fax: 714-529-8834

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number53311
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: