Lee, Chang Sup
Lee, Chang Sup is an individual health care provider with primary practice located at 520 S Virgil Ave Ste 103 , Los Angeles CA 90020-1425. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Lee, Chang Sup can be contacted via phone (404) 783-3508.Contact Information
Primary practice address
520 S Virgil Ave Ste 103
Los Angeles CA 90020-1425
Phone: (404) 783-3508
Fax: (213) 297-7978
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | A172874 | California |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | A172874 | California |
Profile Details
| NPI number | 1598296238 |
|---|---|
| LBN Legal business name | Lee, Chang Sup |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2017 |
| Last updated | Apr 30th, 2026 - about 7 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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