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

DR. IVAN JISOO LEE, MD

Active

DR. IVAN JISOO LEE, MD is a Ophthalmology healthcare provider located in FULLERTON, California. NPI 1942769831 is currently active in the NPPES registry. Verify at CMS.

Ophthalmology · FULLERTON, CA

Registration Details

NPI Number
1942769831
Provider Type
Individual
Gender
Male
NPI Issued
Mar 19, 2019 (7.4050108462785 yrs)
Last Updated
Dec 2, 2025
Licenses
A200827 (CA)
35.147835 (OH)

Practice Information

Address
301 W BASTANCHURY RD STE 285
FULLERTON, CA, 928353432
Browse CA providers · Browse ZIP 92835
Phone
7147384620
Primary Specialty
Ophthalmology
207W00000X
Additional Specialty
Ophthalmology

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DR. MATTHEW H KIM M.D. 1770514465
DR. JEFFREY VICTOR WINSTON M.D. 1316972649
DR. JOHN DAVID ZDRAL MD 1801993944
DR. WILLIAM HENRY PELOQUIN M.D. 1932261336
DR. LESLIE PHAM MD 1568500411
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.