Jae Lee M.D.

NPI 1073614079 - Internal Medicine - 207R00000X

NPI Details
NPI 1073614079
Gender Male
Enumeration Date 09/25/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
8700 BEVERLY BLVD.
LOS ANGELES CA, 90048-1865, US
Phone (310) 967-1884
Fax (310) 967-1744
Business Location
PO BOX 512717
LOS ANGELES CA, 90051-0717, US
Phone (310) 967-1884
Fax (310) 967-1744
Toxanomy
Taxonomy Code 207R00000X
License State California
License Number A90775
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According to our database, Dr. Jae Lee M.D. NPI is 1073614079, taxonomy code is 207R00000X and license number is A90775, license state is located at California. Jae Lee M.D. physically located at 8700 Beverly Blvd., Los Angeles CA, 90048-1865. NPI Number Jae Lee M.D. has the Individual type.

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1073614079 NPI number is provided on an as is basis without warranty of any kind. 1073614079 is maintained by the National Plan & Provider Enumeration System. The contents of Jae Lee M.D. are for informational purposes only.