Soon Min Lee | Tustin, CA • PECOS Search

Soon Min Lee

Acupuncturist

Other Service Providers

18102 Irvine Blvd Ste 209, Tustin, CA 92780-3424

PECOS Enrollment

Based on the most recent information from CMS, provider Soon Min 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
1306257886
Provider Type
Individual
Full Name
Lee, Soon Min
Title
Mr.
Credential
LAC

Gender
Male
Sole Proprietor
Yes
Enumeration Date
5/18/2014
Last Updated
3/2/2015

Contact Information

Practice Location

18102 Irvine Blvd Ste 209, Tustin, CA 92780-3424

(657) 223-2246

Mailing Location

18102 Irvine Blvd Ste 209, Tustin, CA 92780-3424

(657) 223-2246

Provider Taxonomies

Code	Description	License
Code 171100000X Primary	Description Acupuncturist Other Service Providers	License 16107 California