Lee, Jong Charles

Lee, Jong Charles is an individual health care provider with primary practice located at 27924 Seco Canyon Rd , Santa Clarita CA 91350-3870. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Lee, Jong Charles can be contacted via phone (661) 513-2100.

Contact Information

Primary practice address
27924 Seco Canyon Rd Santa Clarita CA 91350-3870
Phone: (661) 513-2100
Fax: (661) 513-2105
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A83310 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A83310 California

Profile Details

NPI number 1518973502
LBN Legal business name Lee, Jong Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Mar 26th, 2014 - about 10 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 1518973502 NPPES
California MEDICAID 00A833100

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