# NEW LIGHT MEDICAL GROUP, INC.

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

## Provider details

- **NPI number:** 1912133364
- **Authorized official:** DR. JEONG-OK LEE M.D. (PRESIDENT)
- **Authorized official phone:** (714) 635-0600

## Contact information

- **Practice address:** 1801 W ROMNEYA DR, STE \#606, ANAHEIM, CA 92801-1828
- **Practice address phone:** (714) 635-0600
- **Practice address fax:** (714) 635-0610
- **Mailing address:** 1801 W ROMNEYA DR, STE \#606, ANAHEIM, CA 92801-1828
- **Mailing address phone:** (714) 635-0600
- **Mailing address fax:** (714) 635-0610

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | — | NULL | — |
| 302R00000X | Health Maintenance Organization | A39186 | CA | Yes |
| 305R00000X | Preferred Provider Organization | — | NULL | — |
| 305S00000X | Point of Service | — | NULL | — |

## Other

- **Enumeration date:** 05/29/2009
- **Last updated:** 03/18/2014