Search › California › 171100000X
Jae Lee
NPI 1205241320 · on the registry since 2014 · sole proprietor
Practice
- Address
- 12411 Osborne St
Unit 45
Pacoima, CA 91331 - Phone
- (213) 435-8309
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-12-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California