Individual
JAEHOON LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1040 N ANAHEIM BLVD UNIT 2, ANAHEIM, CA 92801-2593
(714) 357-3522
Mailing address
1040 N ANAHEIM BLVD UNIT 2, ANAHEIM, CA 92801-2593
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
51866
CA
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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