Provider Demographics
NPI:1124169990
Name:LEE, KIRBY KWOK YUNG (DC, LAC,)
Entity type:Individual
Prefix:DR
First Name:KIRBY
Middle Name:KWOK YUNG
Last Name:LEE
Suffix:
Gender:M
Credentials:DC, LAC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 W GARVEY AVE
Mailing Address - Street 2:#B546
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-7430
Mailing Address - Country:US
Mailing Address - Phone:626-512-4578
Mailing Address - Fax:
Practice Address - Street 1:41 NORTH GARFIELD AVE.
Practice Address - Street 2:# 103
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-3556
Practice Address - Country:US
Practice Address - Phone:626-404-7373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC28117111N00000X
CAAC10621171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist