Organization
JAEHOON LEE, OD, INC.,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAEHOON LEE O.D. (CEO)
(617) 233-4847
Entity
Organization
Contact information
Practice address
19179 BEAR VALLEY RD, SUITE 10, APPLE VALLEY, CA 92308-2724
(760) 240-9679
(760) 240-8062
Mailing address
19179 BEAR VALLEY RD, SUITE 10, APPLE VALLEY, CA 92308-2724
(760) 240-9679
(760) 240-8062
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12239T
CA
Other
Enumeration date
05/27/2011
Last updated
05/27/2011
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