Lee, Jason Chen-Shan

Lee, Jason Chen-Shan is an individual health care provider with primary practice located at 227 W Janss Rd #150, Thousand Oaks CA 91360-1848. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Lee, Jason Chen-Shan can be contacted via phone (805) 496-7755.

Contact Information

Primary practice address
227 W Janss Rd #150 Thousand Oaks CA 91360-1848
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A82022 California

Profile Details

NPI number 1104830371
LBN Legal business name Lee, Jason Chen-Shan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Apr 13th, 2012 - about 12 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 1104830371 NPPES
California MEDICAID 00A820220

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