Lee, Jay M

Lee, Jay M is an individual health care provider with primary practice located at 200 Ucla Medical Plz Ste B265 , Los Angeles CA 90095-3075. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Lee, Jay M can be contacted via phone (310) 794-7333.

Contact Information

Primary practice address
200 Ucla Medical Plz Ste B265 Los Angeles CA 90095-3075
Phone: (310) 794-7333
Fax: (310) 794-7335
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X A96666 California

Profile Details

NPI number 1952326654
LBN Legal business name Lee, Jay M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jan 17th, 2020 - about 5 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 1952326654 NPPES
California MEDICAID 00A966660

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