Individual
JACOB LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4340 E JENSEN AVE, FRESNO, CA 93725-1485
(800) 492-4227
Mailing address
4340 E JENSEN AVE, FRESNO, CA 93725-1485
(800) 492-4227
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
Primary
66945
CA
Other
Enumeration date
03/31/2025
Last updated
01/18/2026
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