Individual
JONGSERK ROBERT LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO, MS
Contact information
Practice address
4601 DALE RD, MODESTO, CA 95356-9718
(209) 735-5000
Mailing address
1000 W CARSON ST # 432, TORRANCE, CA 90502-2059
(424) 306-6520
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
17556
CA
Other
Enumeration date
04/12/2018
Last updated
09/25/2023
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