Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jisu Lee

Individual provider Acupuncturist · NPI 1740884758

Jisu Lee is an Acupuncturist in San Pedro, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
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Practice location Address checks out

505 S Pacific Ave Unit 103
San Pedro, CA 90731-2656
Phone: (310) 935-2182
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence AC18969 (CA)

Record details

NPI number1740884758
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 30, 2020
Last updated in NPPESNovember 30, 2020
Certification dateNovember 30, 2020
Mailing address719 Orange Grove Ave Apt 203, Glendale, CA 91205-1789

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