Organization · Type 2 NPI

Jaesung Lee

Specialist · Thousand Oaks, CA

NPI number 1609072503 Active

Practice location

301 S Moorpark Rd
Thousand Oaks, CA 91361-1008

Call (805) 379-9646 Map

Fax (805) 379-0611

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XG64716 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1609072503

Jaesung Lee's National Provider Identifier is 1609072503, issued on Jun 26, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Thousand Oaks, CA. The record was last updated on Aug 27, 2010.