Individual
DR. JONATHAN K. LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
547 SHADOWBROOK CT, REDLANDS, CA 92374-6474
(909) 645-1986
(909) 335-5767
Mailing address
547 SHADOWBROOK CT, REDLANDS, CA 92374-6474
(909) 645-1986
(909) 335-5767
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
G69750
CA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
G69750
CA
Other
Enumeration date
02/16/2006
Last updated
12/29/2011
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