Individual provider · Type 1 NPI

Jae Young Lee

Family Nurse Practitioner · Victorville, CA

NPI number 1952004095 Active

Practice location

15095 Amargosa Rd Ste 102
Victorville, CA 92394-1875

Call (760) 552-4470 Map

Mailing address

7425 S 9th St. #119
Buena Park, CA 90621-7425

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNP95024373 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1952004095

Jae Young Lee's National Provider Identifier is 1952004095, issued on Mar 27, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Victorville, CA. The record was last updated on Nov 24, 2023.