Organization
JAIME S. LEE HO MD INC.
Active
Other names
Mt Mesa Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME S. LEE HO M.D. (PRESIDENT/PHYSICIAN)
(760) 379-2426
Entity
Organization
Contact information
Practice address
4308 BIRCH STREET, LAKE ISABELLA, CA 93240
(760) 379-2426
(760) 379-2664
Mailing address
PO BOX 1898, 4308 BIRCH STREET, LAKE ISABELLA, CA 93240-1898
(760) 379-2426
(760) 379-2664
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G43717
CA
208D00000X
General Practice Physician
Primary
A24547
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0022310
—
CA
Enumeration date
08/15/2006
Last updated
09/03/2008
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