Provider Demographics
NPI:1588874689
Name:LEE, WEI CHING (MD)
Entity type:Individual
Prefix:DR
First Name:WEI CHING
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:713 W DUARTE RD
Mailing Address - Street 2:#G276
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-7564
Mailing Address - Country:US
Mailing Address - Phone:626-817-3422
Mailing Address - Fax:
Practice Address - Street 1:55 E HUNTINGTON DR STE 219
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-3239
Practice Address - Country:US
Practice Address - Phone:626-817-3422
Practice Address - Fax:626-348-8772
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2014-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA91926208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation