Healthcare Provider Details

I. General information

NPI: 1780588160
Provider Name (Legal Business Name): HYEJUN LEE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

986145 NEBRASKA MEDICAL CTR
OMAHA NE
68198-6145
US

IV. Provider business mailing address

3538 TORRANCE BLVD UNIT 135
TORRANCE CA
90503-4896
US

V. Phone/Fax

Practice location:
  • Phone: 310-303-1795
  • Fax:
Mailing address:
  • Phone: 310-303-1795
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number19160
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: