Individual
JENNIFER EUN JOO LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1147 RED TAIL WAY, SIMI VALLEY, CA 93065-7232
(805) 527-8055
Mailing address
1147 RED TAIL WAY, SIMI VALLEY, CA 93065-7232
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
20A17453
CA
Other
Enumeration date
03/18/2015
Last updated
09/05/2019
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