Joo Bang Lee | Tustin, CA • PECOS Search

Joo Bang Lee

Acupuncturist

Other Service Providers

13762 Newport Ave, Suite 205, Tustin, CA 92780-4681

PECOS Enrollment

Based on the most recent information from CMS, provider Joo Bang Lee does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1275744054
Provider Type
Individual
Full Name
Lee, Joo Bang
Title
Dr.
Credential
L.AC.,O.M.D,PH.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
5/24/2007
Last Updated
7/8/2007

Contact Information

Practice Location

13762 Newport Ave, Suite 205, Tustin, CA 92780-4681

Unlisted Fax

Mailing Location

13762 Newport Ave, Suite 205, Tustin, CA 92780-4681

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 171100000X Primary	Description Acupuncturist Other Service Providers	License AC393 California