Individual
JOHN JYYOON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11301 WILSHIRE BLVD. BUILDING 402 (MAIL CODE 10H5), LOS ANGELES, CA 90073
(310) 478-3711
Mailing address
11301 WILSHIRE BLVD. BUILDING 402 (MAIL CODE 10H5), LOS ANGELES, CA 90073
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95030505
CA
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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