Individual
DR. JAY LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6041 CADILLAC AVE, LOS ANGELES, CA 90034-1702
(323) 857-2682
(323) 857-3915
Mailing address
3770 KEYSTONE AVE, APT. #208, LOS ANGELES, CA 90034-6360
(323) 252-7008
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A83417
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A834170
—
CA
Enumeration date
06/12/2006
Last updated
12/03/2021
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