Individual
DR. JASON P LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14445 OLIVE VIEW DR # H1, SYLMAR, CA 91342-1437
(949) 246-9750
Mailing address
14860 ROSCOE BLVD STE 304, PANORAMA CITY, CA 91402-4695
(949) 246-9750
(906) 254-3118
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A157810
CA
2084P0800X
Psychiatry Physician
Primary
A157810
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
04/14/2017
Last updated
01/04/2023
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