Provider Demographics
NPI:1588451827
Name:CENQUIZCA, LEE ANDREW (PHD)
Entity type:Individual
Prefix:DR
First Name:LEE
Middle Name:ANDREW
Last Name:CENQUIZCA
Suffix:
Gender:
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4028 LONG BEACH BLVD STE 202
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-2697
Mailing Address - Country:US
Mailing Address - Phone:562-981-0555
Mailing Address - Fax:
Practice Address - Street 1:4028 LONG BEACH BLVD STE 202
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-2697
Practice Address - Country:US
Practice Address - Phone:562-981-0555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator