Lee, Jeong Ok
Lee, Jeong Ok is an sole proprietor health care provider with primary practice located at 1801 W Romneya Dr Suite #606, Anaheim CA 92801-1830. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Lee, Jeong Ok can be contacted via phone (714) 635-0600.Contact Information
Primary practice address
1801 W Romneya Dr Suite #606
Anaheim CA 92801-1830
Phone: (714) 635-0600
Fax: (714) 635-0610
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A39186 | California |
Profile Details
NPI number | 1134180946 |
---|---|
LBN Legal business name | Lee, Jeong Ok |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 31st, 2006 |
Last updated | Jul 24th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1134180946 | NPPES |
California | MEDICAID | 00A391861 |
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