Individual
JAWCHYI LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13428 MAXELLA AVENUE #759, MARINA DEL REY, CA 90292-6090
(310) 529-7734
Mailing address
16835 ALGONQUIN ST # 125, HUNTINGTON BEACH, CA 92649-3810
(310) 529-7734
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01097875A
IN
207P00000X
Emergency Medicine Physician
76929
AZ
207P00000X
Emergency Medicine Physician
A70318
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A703180
—
CA
Enumeration date
08/03/2006
Last updated
10/13/2025
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