Lee, Jae K

Lee, Jae K is an individual health care provider with primary practice located at 26800 Crown Valley Pkwy Suite 100, Mission Viejo CA 92691-6384. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Lee, Jae K can be contacted via phone (949) 364-6000.

Contact Information

Primary practice address
26800 Crown Valley Pkwy Suite 100 Mission Viejo CA 92691-6384
Phone: (949) 364-6000
Fax: (949) 364-1204
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X A79627 California

Profile Details

NPI number 1194702563
LBN Legal business name Lee, Jae K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Nov 29th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194702563 NPPES
California MEDICAID 00A796270

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