Individual
DR. JIN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10243 GENETIC CENTER DRIVE, SAN DIEGO, CA 92121-6310
(858) 526-6175
(858) 526-6017
Mailing address
10243 GENETIC CENTER DRIVE, SAN DIEGO, CA 92121-6310
(858) 526-6175
(858) 526-6017
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
224917
MA
207N00000X
Dermatology Physician
247406-1
NY
207N00000X
Dermatology Physician
50381
CO
207N00000X
Dermatology Physician
Primary
A109932
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022236
KAISER COMMERCIAL NUMBER
CO
05
—
53970845
—
CO
Enumeration date
03/11/2008
Last updated
06/24/2013
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