Individual
JINWOO LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 PASTEUR DR, PALO ALTO, CA 94304-2203
(408) 885-5110
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A187745
CA
208D00000X
General Practice Physician
A187745
CA
Other
Enumeration date
03/24/2020
Last updated
07/17/2024
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