Lee, Peter Choongsun

Lee, Peter Choongsun is an sole proprietor health care provider with primary practice located at 6552 Bolsa Ave , Huntington Beach CA 92647-2622. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Lee, Peter Choongsun can be contacted via phone (714) 897-2541.

Contact Information

Primary practice address
6552 Bolsa Ave Huntington Beach CA 92647-2622
Phone: (714) 897-2541
Fax: (714) 891-2041
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PHY37314 California

Profile Details

NPI number 1033295191
LBN Legal business name Lee, Peter Choongsun
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033295191 NPPES
California MEDICAID PHA373140

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