Healthcare Provider Details

I. General information

NPI: 1750266722
Provider Name (Legal Business Name): LILIAN VERONICA MOK LEE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2025
Last Update Date: 08/08/2025
Certification Date: 08/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 EL VENADO DR
HACIENDA HEIGHTS CA
91745-3905
US

IV. Provider business mailing address

2525 EL VENADO DR
HACIENDA HEIGHTS CA
91745-3905
US

V. Phone/Fax

Practice location:
  • Phone: 626-327-5306
  • Fax:
Mailing address:
  • Phone: 626-327-5306
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number20753
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: