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Organization
JAY KYUNG LEE MD APC
Active
Organization
JAY KYUNG LEE MD APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY KYUNG LEE M.D. (OWNER)
(951) 977-8525
Entity
Organization
Contact information
Practice address
12980 FREDERICK ST STE A, MORENO VALLEY, CA 92553-5263
(951) 924-0108
(951) 924-4776
Mailing address
7724 CALIFORNIA AVE, RIVERSIDE, CA 92504-2509
(951) 977-8525
(951) 977-8527
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A85767
CA
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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