Provider Information for 1538536230
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EDWARD LEI L.C.S.W.
Sex: Male
NPI: 1538536230
Last Updated: 2015-12-06
Certification Date:
Certification Date:
Details
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NPI | 1538536230 | ||||||||
Enumeration Date | 2015-08-28 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | PO BOX 3674 COVINA, CA 91722-5674 United States Phone: 626-715-9212 | Fax: | ||||||||
Primary Practice Address | 1126 N GRAND AVE COVINA, CA 91724-1551 United States Phone: 626-967-1667 | Fax: | ||||||||
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