Individual
JUNG IN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3255 WILSHIRE BLVD STE 120, LOS ANGELES, CA 90010-1405
(213) 235-2500
(213) 355-8714
Mailing address
3727 W 6TH ST STE 210, LOS ANGELES, CA 90020-5108
(213) 235-2500
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA63849
CA
Other
Enumeration date
09/27/2022
Last updated
04/01/2025
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