Individual
JOHN MYUNG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15366 ELEVENTH ST STE C, VICTORVILLE, CA 92395-3726
(213) 760-3796
(213) 566-3793
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A176924
CA
208M00000X
Hospitalist Physician
Primary
A176924
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2018
Last updated
07/11/2023
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