Individual
JAE YONG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10802 COLLEGE PL, CERRITOS, CA 90703-1505
(562) 924-9581
Mailing address
10802 COLLEGE PL, CERRITOS, CA 90703-1505
(562) 924-9581
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95234831
CA
Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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