Individual
JAE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1188 N EUCLID ST, ANAHEIM, CA 92801-1900
(714) 254-2747
Mailing address
1188 N EUCLID ST, ANAHEIM, CA 92801-1900
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20A13074
CA
Other
Enumeration date
05/27/2010
Last updated
11/30/2021
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