Individual
DR. JONG IN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5471 LA PALMA AVE STE 205, LA PALMA, CA 90623-1733
(714) 521-6690
(714) 521-9367
Mailing address
5471 LA PALMA AVE STE 205, LA PALMA, CA 90623-1733
(714) 521-6690
(714) 521-9367
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A37705
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A377050
—
CA
Enumeration date
09/06/2006
Last updated
10/31/2012
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