MRS. MYUNG SOOK LEE


Address: 765 Modern Ice Dr, San Jose, CA 95112-4857
Phone: 4083408408

MRS. MYUNG SOOK LEE (NPI# 1114398658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114398658
Entity Type Individual
Full Name MRS. MYUNG SOOK LEE
Practice Address 765 Modern Ice Dr
San Jose
CA 95112-4857
Practice Telephone 4083408408
Mailing Telephone 4083408408
Enumeration Date 2015-10-09
Last Update Date 2015-10-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist 65161 CA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers MYUNG SOOK LEE

NPI Name Taxonomy Address Enumeration
1376779876 Myung Sook Lee Registered Nurse 1151 Bethel Rd Ste 201, Columbus, OH 43220-2775 2009-06-10
1003915984 Myung Sook Lee Pharmacist 4801 E.linwood Blvd, Kansas City, MO 64128 2006-09-21

Office Location

Street Address 765 MODERN ICE DR
City SAN JOSE
State CA
Zip Code 95112-4857

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104443407 Khady Fall Behavior Technician 408 494 1561, 614 Tully Road, San Jose, CA 95112 2020-07-02
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1083254262 Tessa Dobrin Zapalac Behavior Technician 1887 Monterey Road, Suite 225, San Jose, Ca 95112, San Jose, CA 95112 2020-01-15
1508404716 Emilie Caitlin Leach Counselor 290 N 2nd St, San Jose, CA 95112 2019-12-18
1699313080 Juan Carlos Mercado Marriage & Family Therapist 290 North 2nd St, San Jose, CA 95112 2019-12-16
1386288017 Path (people Assisting The Homeless) Case Manager/Care Coordinator 290 N. 2nd Street San Jose Ca, San Jose, CA 95112 2019-11-06
1316588528 Loralee Crystal Garcia Technician 546 N. 3rd Street #7, San Jose, CA 95112 2019-09-30
1306316922 Patricia Calatraba Swofford Marriage & Family Therapist 232 E. Gish Rd., San Jose, CA 95112 2018-11-27
1134606932 Ana Alicia Castro-banderas Social Worker 160 E Virginia St., Suite 100, San Jose, CA 95112 2018-07-24
1275035750 Theresa Khong Behavior Technician 1887 Monterey Hwy. Suite 225, San Jose, CA 95112 2018-03-01
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Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770181521 Ebonique Zanale Wilson Massage Therapist 380 Vista Roma Way Unit 316, San Jose, CA 95136-4421 2020-10-14
1225635162 Veronica Isabel Foggie Massage Therapist 3570 Ct, San Jose, CA 95127 2020-10-05
1659988897 Francis Beaudry Massage Therapist 1374 Piland Dr, San Jose, CA 95130-1339 2020-09-30
1972118586 Niane Oliveira Ribeiro De Sa Massage Therapist 1174 Lincoln Ave Ste 5, San Jose, CA 95125-3029 2020-09-10
1164061412 Castrell Neuromuscular Therapy Massage Therapist 3880 S Bascom Ave Ste 108, San Jose, CA 95124-2600 2020-01-04
1285192468 Mae Rose Corley Massage Therapist 841 Blossom Hill Rd Ste 108, San Jose, CA 95123-2704 2019-03-07
1750870747 Gertrud Stojancic Massage Therapist 3315 Almaden Expressway, # 27/29, San Jose, CA 95125 2018-05-04
1457889958 Chris Shelton Massage Therapist 1314 Lincoln Ave Ste 2b, San Jose, CA 95125-3012 2017-05-27
1477098572 Richard C Rhodes Massage Therapist 2618 Hill Park Dr, San Jose, CA 95124-1734 2016-12-27
1043616493 Douglas Olson Massage Therapist 1082 Almaden Village Ln, San Jose, CA 95120-3365 2014-11-12
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Competitor

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City SAN JOSE
Zip Code 95112

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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