Individual
JASON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-6054
(714) 456-5342
Mailing address
PO BOX 51342, LOS ANGELES, CA 90051-5642
(714) 456-6054
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A106496
CA
Other
Enumeration date
08/27/2009
Last updated
08/27/2009
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