Provider Demographics
NPI:1447043997
Name:LEE, BRANDON (PSYD)
Entity type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:
Last Name:LEE
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2801 MAIN ST APT 432
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-5020
Mailing Address - Country:US
Mailing Address - Phone:626-863-3390
Mailing Address - Fax:
Practice Address - Street 1:2801 MAIN ST APT 432
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-5020
Practice Address - Country:US
Practice Address - Phone:626-863-3390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program