Individual
SERRA JONGHAE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
14111 VAN NESS AVE # 5, GARDENA, CA 90249-2950
(142) 439-6341
(424) 396-3427
Mailing address
14111 VAN NESS AVE # 5, GARDENA, CA 90249-2950
(142) 439-6341
(424) 396-3427
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
NP95018002
CA
Other
Enumeration date
05/24/2022
Last updated
05/07/2024
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