Organization
JAI H LEE MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAI H LEE M.D. (PRESIDENT)
(213) 380-0028
Entity
Organization
Contact information
Practice address
520 S VIRGIL AVE, SUITE 103, LOS ANGELES, CA 90020-1416
(213) 380-0028
(213) 380-0036
Mailing address
520 S VIRGIL AVE, SUITE 103, LOS ANGELES, CA 90020-1416
(213) 380-0028
(213) 380-0036
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A38492
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A38492
PROFESSIONAL LICENSE
CA
Enumeration date
05/12/2014
Last updated
05/12/2014
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