Individual
JASON F LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4323 W RIVERSIDE DR, BURBANK, CA 91505-4044
(818) 556-2700
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 301-8714
(310) 301-8712
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A134450
CA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
A134450
CA
Other
Enumeration date
06/26/2012
Last updated
10/24/2019
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