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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:

Details

NameValue
NPI1538536230
Enumeration Date2015-08-28
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
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:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalCA65078