Individual
DR. JENNAE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4318 MISSION AVE, OCEANSIDE, CA 92057-6541
(760) 901-5010
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(760) 901-5010
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A161721
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/02/2016
Last updated
01/06/2023
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