Individual provider · Type 1 NPI

Ji Yun Lee

Student in an Organized Health Care Education/Training Program · Oakland, CA

NPI number 1114538899 Active

Practice location

747 52nd St
Oakland, CA 94609-1809

Mailing address

6399 Christie Ave Apt 440
Emeryville, CA 94608-1399

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114538899

Ji Yun Lee's National Provider Identifier is 1114538899, issued on Aug 14, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Oakland, CA. The record was last updated on Aug 14, 2020.