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Individual

DR. JASON JAEYUN LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
26520 CACTUS AVE, MORENO VALLEY, CA 92555-3927
(951) 486-4753
Mailing address
26520 CACTUS AVE, MORENO VALLEY, CA 92555-3927
(951) 486-4753

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20A12986
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/02/2012
Last updated
10/15/2024
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