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Search › California › 363LF0000X

Jae Young Lee

NPI 1952004095 · on the registry since 2023 · sole proprietor

Practice

Address
15095 Amargosa Rd Ste 102
Victorville, CA 92394
Phone
(760) 552-4470
Organisation at this address
Odochi Nwagwu Md Inc
Mojave Valley Physical Therapy
Maxim Healthcare Services, Inc.
Adrian Tripp Md Medical Corporation
Victor Community Support Services Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
170

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-11-24
Status
Not present in the most recent federal file

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