| Doctor Name: | MR. DAVID WON LEE |
| NPI Number: | 1932566858 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 76109 |
| Business Practice Address: | 720 Ramona Ave 103 Corona, CA - 928792150 |
| Business Phone Number: | 9517357677 |
| Business Fax Number: | 9517357611 |
| Mailing Address: | 720 Ramona Ave, 103 CORONA |
| State: | CA |
| Postal Code: | 928792150 |
| Phone Number: | 9517357677 |
| Fax Number: | 9517357611 |
| NPI Enumeration Date: | 01/22/2016 |
| NPI Last Update Date: | 01/22/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 76109 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |