Healthcare Provider Details

I. General information

NPI: 1891064432
Provider Name (Legal Business Name): HELEN CHAEEUN ALEXANDERSON-LEE PH.D., R.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HELEN C. LEE PH.D., R.D.

II. Dates (important events)

Enumeration Date: 12/28/2011
Last Update Date: 10/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3350 E SANTA ANA AVE
FRESNO CA
93726-0620
US

IV. Provider business mailing address

3350 E SANTA ANA AVE
FRESNO CA
93726-0620
US

V. Phone/Fax

Practice location:
  • Phone: 310-867-4098
  • Fax: 888-866-8173
Mailing address:
  • Phone: 310-867-4098
  • Fax: 888-866-8173

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133VN1004X
TaxonomyPediatric Nutrition Registered Dietitian
License Number392612
License Number State
# 2
Primary TaxonomyY
Taxonomy Code133VN1006X
TaxonomyMetabolic Nutrition Registered Dietitian
License Number392612
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: