Lee, Jay Pun

Lee, Jay Pun is an individual health care provider with primary practice located at 23785 El Toro Rd Suite 609, Lake Forest CA 92630-4762. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Lee, Jay Pun can be contacted via phone (818) 349-9966.

Contact Information

Primary practice address
23785 El Toro Rd Suite 609 Lake Forest CA 92630-4762
Phone: (818) 349-9966
Fax: (818) 349-5615
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA15457 California

Profile Details

NPI number 1508881574
LBN Legal business name Lee, Jay Pun
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jun 9th, 2015 - about 9 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 1508881574 NPPES
California MEDICAID PA15457

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