Individual provider · Type 1 NPI
Jungsoo Lee, NURSE PRACTITIONER
Acute Care Nurse Practitioner · Montebello, CA
NPI number
1851131114
Active
Practice location
3114 W Beverly Blvd
Montebello, CA 90640-2217
Fax (323) 726-3870
Mailing address
2031 20th St Apt D
Santa Monica, CA 90404-4750
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 95023879 (CA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1851131114
Jungsoo Lee, NURSE PRACTITIONER's National Provider Identifier is 1851131114, issued on May 24, 2024. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Montebello, CA. The record was last updated on May 24, 2024.