Individual
JI YOUNG LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2505 W HAMMER LN, STOCKTON, CA 95209-2839
(209) 948-5940
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
(855) 771-0335
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
268466
NY
207V00000X
Obstetrics & Gynecology Physician
Primary
C162571
CA
Other
Enumeration date
04/13/2009
Last updated
12/28/2020
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