Provider Demographics
NPI:1306113311
Name:LEE, ANDREW CHOONKOO (PHARM D)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:CHOONKOO
Last Name:LEE
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 LA ROTONDA DR UNIT 312
Mailing Address - Street 2:
Mailing Address - City:RANCHO PALOS VERDES
Mailing Address - State:CA
Mailing Address - Zip Code:90275-6151
Mailing Address - Country:US
Mailing Address - Phone:310-541-3120
Mailing Address - Fax:
Practice Address - Street 1:8770 W PICO BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90035-2211
Practice Address - Country:US
Practice Address - Phone:310-275-2117
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-18
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50259183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist