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Organization

JAY KYUNG LEE M.D. 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
7724 CALIFORNIA AVE, RIVERSIDE, CA 92504-2509
(951) 977-8525
(951) 977-8527
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

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A857670
CA
Enumeration date
06/30/2014
Last updated
10/16/2015
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