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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAESUNG LEE

Active Organization

JAESUNG LEE is a Specialist organization located in THOUSAND OAKS, California. NPI 1609072503 is currently active in the NPPES registry. Verify at CMS.

Specialist · THOUSAND OAKS, CA

Registration Details

NPI Number
1609072503
Provider Type
Organization
NPI Issued
Jun 26, 2007 (19.135474446355 yrs)
Last Updated
Aug 27, 2010
License
G64716 (CA)

Practice Information

Address
301 S MOORPARK RD
THOUSAND OAKS, CA, 913611008
Browse CA providers · Browse ZIP 91361
Phone
8053799646
Fax
8053790611
Primary Specialty
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.