Individual
JASON LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18321 CLARK ST, TARZANA, CA 91356-3501
(818) 881-0800
Mailing address
3701 WILSHIRE BLVD, SUITE 600, LOS ANGELES, CA 90010-2804
(323) 361-2337
(323) 361-8491
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
252599
NY
208000000X
Pediatrics Physician
Primary
A102364
CA
Other
Enumeration date
07/13/2007
Last updated
07/01/2020
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