MEDICARE: HO SEONG LEE L.AC., D.A.O.M.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AC10837	CA

General Provider Information

NPI Number	:	1831597848
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HO SEONG LEE L.AC., D.A.O.M.

Provider Business Mailing Address
First Line	:	3030 W 8TH ST STE 300
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90005-1887
Country	:	US
Telephone Number	:	213-926-1496
Fax Number	:

Provider Business Practice Location Address
First Line	:	3030 W 8TH ST UNIT 300
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90005-1887
Country	:	US
Telephone Number	:	213-926-1496
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2014
Last Update Date	:	01/10/2026

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Directions to “ HO SEONG LEE L.AC., D.A.O.M.” Practice Location

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