Individual
JAE W LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3780 WILSHIRE BLVD, 6TH FL, LOS ANGELES, CA 90010-2805
(213) 739-1416
Mailing address
3780 WILSHIRE BLVD, 6TH FL, LOS ANGELES, CA 90010-2805
(213) 739-1416
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A032086
CA
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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