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Hyun Ju Lee

Marriage & Family Therapist

Behavioral Health & Social Service Providers

5152 Katella Ave Ste 205, Los Alamitos, CA 90720-2846

PECOS Enrollment

This provider is enrolled in PECOS as HYUN LEE.

Based on the most recent information from CMS, provider Hyun Ju Lee is legally eligible to order and refer claims for Part B and DME services only.

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

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1538911953
Provider Type
Individual
Full Name
Lee, Hyun Ju
Credential
LMFT, PHD

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/2/2024
Last Updated
4/6/2024

Contact Information

Practice Location

5152 Katella Ave Ste 205, Los Alamitos, CA 90720-2846

(213) 744-0060

Unlisted Fax

Mailing Location

PO Box 8056, La Crescenta, CA 91224-0056

(213) 744-0060

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License LMFT146052 California
Code 101YM0800X	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer

Hyun Ju Lee

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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