Individual
JAE HOON LEE
Active
Individual
JAE HOON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
A109172
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A109172
LICENSE
CA
01
—
LL1795
NV MEDICAL LIC
NV
Enumeration date
07/06/2007
Last updated
08/19/2019
Update your record
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