Individual
JASON KANG LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3155 SEDONA CT STE 100, ONTARIO, CA 91764-6558
(909) 698-9780
(909) 974-0356
Mailing address
75 ENTERPRISE STE 200, ALISO VIEJO, CA 92656-2626
(949) 688-6205
(949) 688-6205
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
34847
CA
Other
Enumeration date
04/01/2021
Last updated
08/16/2022
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