Jaesung Lee

LBN: Jaesung Lee
Jaesung Lee is an health care organization with primary practice located at 301 S Moorpark Rd , Thousand Oaks CA 91361-1008. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Jaesung Lee can be contacted via phone (805) 379-9646, or through Lee, Jaesung via phone (805) 379-9646.

Contact Information

Primary practice address
301 S Moorpark Rd Thousand Oaks CA 91361-1008
Phone: (805) 379-9646
Fax: (805) 379-0611
Website:
Map and Directions
Authorized official contact:
Name: Lee, Jaesung Doctor of Medicine (MD)
Phone: (805) 379-9646

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G64716 California

Profile Details

NPI number 1609072503
LBN Legal business name Jaesung Lee
DBA Doing business as
Authorized official Lee, Jaesung Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2007
Last updated Aug 27th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609072503 NPPES
California Other G64716 LICENSE

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