Lee, Won Bo

Lee, Won Bo is an sole proprietor health care provider with primary practice located at 4220 W 3Rd St #102, Los Angeles CA 90020-3450. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Lee, Won Bo can be contacted via phone (213) 384-0199.

Contact Information

Primary practice address
4220 W 3Rd St #102 Los Angeles CA 90020-3450
Fax: (213) 384-1013
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A32379 California

Profile Details

NPI number 1033103346
LBN Legal business name Lee, Won Bo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2005
Last updated Nov 16th, 2010 - about 14 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 1033103346 NPPES
California MEDICAID A323790

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