Individual provider · Type 1 NPI
Jae W. Lee, MD
General Practice Physician · Los Angeles, CA
NPI number
1639265143
Active
Practice location
3780 Wilshire Blvd, 6th Fl
Los Angeles, CA 90010-2805
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | A032086 (CA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1639265143
Jae W. Lee, MD's National Provider Identifier is 1639265143, issued on Oct 4, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 8, 2007.