Provider Information for 1780995613
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Ms. ANGELIZ LEE M.S.
Sex: Female
NPI: 1780995613
Last Updated: 2012-02-06
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1780995613 | ||||||||
| Enumeration Date | 2010-06-25 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1688 MIRACOSTA CIR UNIT A CHULA VISTA, CA 91913-3076 United States Phone: 619-504-7407 | Fax: | ||||||||
| Primary Practice Address | 4275 EL CAJON BLVD SUITE 101 SAN DIEGO, CA 92105-1293 United States Phone: 858-565-4148 | Fax: | ||||||||
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