Lee, Jay Kyung

Lee, Jay Kyung is an sole proprietor health care provider with primary practice located at 12980 Frederick St Ste A, Moreno Valley CA 92553-5263. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Lee, Jay Kyung can be contacted via phone (951) 924-0108.

Contact Information

Primary practice address
12980 Frederick St Ste A Moreno Valley CA 92553-5263
Fax: (951) 924-4776
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A85767 California

Profile Details

NPI number 1518963321
LBN Legal business name Lee, Jay Kyung
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2005
Last updated Jan 6th, 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.

Request for update

Popular Providers