Individual
JOHN S LEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M D F R C S
Contact information
Practice address
23521 PASEO DE VALENCIA, #207, LAGUNA HILLS, CA 92653-3107
(949) 707-5125
(949) 707-5129
Mailing address
23521 PASEO DE VALENCIA, #207, LAGUNA HILLS, CA 92653-3107
(949) 707-5125
(949) 707-5129
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
A41624
CA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
A41624
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A416241
—
CA
Enumeration date
08/31/2006
Last updated
03/31/2017
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