Individual
DR. JEONG OK LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1801 W ROMNEYA DR, SUITE #606, ANAHEIM, CA 92801-1830
(714) 635-0600
(714) 635-0610
Mailing address
1801 W ROMNEYA DR, SUITE #606, ANAHEIM, CA 92801-1830
(714) 635-0600
(714) 635-0610
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A39186
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A391861
—
CA
Enumeration date
03/31/2006
Last updated
07/24/2012
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