Individual
JASON JWO LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A193554
CA
2085R0202X
Diagnostic Radiology Physician
R77335
AZ
208600000X
Surgery Physician
R77335
AZ
Other
Enumeration date
04/11/2019
Last updated
05/01/2026
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