Individual
JAY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11234 ANDERSON ST # C, GME OFFICE WESTERLY STE, LOMA LINDA, CA 92354-2804
(909) 558-4015
Mailing address
11234 ANDERSON ST, GME OFFICE WESTERLY SUITE C, LOMA LINDA, CA 92354-2804
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A157218
CA
Other
Enumeration date
03/27/2017
Last updated
03/13/2024
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