# JCA MEDICAL ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124859665
- **Authorized official:** BAEKCHEOL LEE NP (NURSE PRACTITIONER)
- **Authorized official phone:** (240) 888-6512

## Contact information

- **Practice address:** 12401 MIDDLEBROOK RD STE 170, GERMANTOWN, MD 20874-1522
- **Practice address phone:** (240) 203-8820
- **Practice address fax:** (240) 349-7832
- **Mailing address:** 12401 MIDDLEBROOK RD STE 170, GERMANTOWN, MD 20874-1522
- **Mailing address phone:** (240) 203-8820
- **Mailing address fax:** (240) 203-8820

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/07/2024
- **Last updated:** 09/15/2025