Jay Kyung Lee in Moreno Valley - Specialist

Jay Kyung Lee - NPI 1518963321

Jay Kyung Lee is a Specialist in Moreno Valley, California. Jay Kyung Lee practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jay Kyung Lee is 1518963321. The last update date is 2012-01-06.

Jay Kyung Lee's current location address is 12980 Frederick St, Moreno Valley, California. You can contact this provider via phone number 9519240108 and fax number 9519244776. The mailing address for Jay Kyung Lee is 12980 Frederick St, Moreno Valley, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jay Kyung Lee
Address 12980 Frederick St, Moreno Valley, California
Phone Number 9519240108
Fax Number 9519244776
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1518963321
Provider Enumeration Date 2005-06-27
Last Updated Date 2012-01-06

Provider Mailing Address Detail

Address 12980 Frederick St
City Moreno Valley
State California (CA)
Post Code 925535263
Phone Number 9519240108
Fax Number 9519244776

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No A85767
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Jay Kyung Lee

What is the unique provider identifier assigned to Jay Kyung Lee?

The Jay Kyung Lee has been issued the NPI (National Provider Identifier) 1518963321 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Jay Kyung Lee is located?

The Jay Kyung Lee is situated at the following address: 12980 Frederick St, Moreno Valley, CA, 925535263.

What is the Jay Kyung Lee's area of specialization and corresponding taxonomy classification?

The Jay Kyung Lee's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.

When did the Jay Kyung Lee receive its 1518963321?

The Jay Kyung Lee was issued its 1518963321 on 2005-06-27, which is the date when the organization was assigned this unique identifier.

When was the information regarding Jay Kyung Lee most recently updated?

The details pertaining to the Jay Kyung Lee, including its address, specialty, and other relevant information, were last refreshed on 2012-01-06.

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