Individual
JASON CHEN-SHAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
227 W JANSS RD, #150, THOUSAND OAKS, CA 91360-1848
(805) 496-7755
Mailing address
26500 AGOURA RD, #431, CALABASAS, CA 91302-1952
(310) 365-8711
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A82022
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A820220
—
CA
Enumeration date
07/27/2006
Last updated
04/13/2012
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