Individual
JAY M LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 UCLA MEDICAL PLZ STE B265, LOS ANGELES, CA 90095-3075
(310) 794-7333
(310) 794-7335
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
A96666
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A966660
—
CA
Enumeration date
07/13/2006
Last updated
01/17/2020
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