Individual
ANDREA JASMINE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-6411
(714) 456-5149
Mailing address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-6411
(714) 456-5149
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
58.033521
OH
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
03/30/2023
Last updated
04/24/2024
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