Lee, Jason Hesung
Lee, Jason Hesung is an individual health care provider with primary practice located at 39700 Bob Hope Dr Suite 202, Rancho Mirage CA 92270-3267. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Lee, Jason Hesung can be contacted via phone (760) 341-2360.Contact Information
Primary practice address
39700 Bob Hope Dr Suite 202
Rancho Mirage CA 92270-3267
Phone: (760) 341-2360
Fax: (760) 346-5940
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | MD425992 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 25MA08008400 | New Jersey |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | A108113 | California |
Profile Details
| NPI number | 1639112055 |
|---|---|
| LBN Legal business name | Lee, Jason Hesung |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Dec 15th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639112055 | NPPES |
| New Jersey | MEDICAID | 1014610230002 | |
| New Jersey | MEDICAID | 101461023001 | |
| New Jersey | Other | 1699298 | |
| New Jersey | Other | 54-2177172 | |
| New Jersey | Other | 54-2177172 | |
| New Jersey | Other | A108113 | |
| New Jersey | Other | X003305501 | |
| New Jersey | Other | 54-2177172 | |
| New Jersey | Other | 54-2177172 | |
| New Jersey | Other | 6694216 | |
| New Jersey | MEDICAID | 0091511 | |
| New Jersey | Other | 330808867 | |
| New Jersey | Other | 221971 | |
| New Jersey | Other | 2692016000 | |
| New Jersey | Other | P00756965 |
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