Individual
JOSEPH JYH-CHUNG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3660 PARK SIERRA DR, SUITE 208, RIVERSIDE, CA 92505-3081
(951) 687-2800
(951) 687-7290
Mailing address
PO BOX 54130, LOS ANGELES, CA 90054-0130
(951) 687-3200
(951) 687-8923
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A31028
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A310280
—
CA
01
—
390004307
MEDICARE RAILROAD
CA
Enumeration date
06/20/2006
Last updated
06/14/2012
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