Individual
DR. JAE K LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26800 CROWN VALLEY PKWY, SUITE 100, MISSION VIEJO, CA 92691-6384
(949) 364-6000
(949) 364-1204
Mailing address
27451 LOS ALTOS, SUITE 100, MISSION VIEJO, CA 92691-6331
(949) 282-1600
(949) 367-0518
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A79627
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A796270
—
CA
Enumeration date
12/28/2005
Last updated
11/29/2021
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