Jae Hoon Lee in Agoura Hills - Geriatric Medicine
Jae Hoon Lee - NPI 1912105297
Jae Hoon Lee is a Geriatric Medicine in Agoura Hills, California. Jae Hoon Lee practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Jae Hoon Lee is 1912105297. The last update date is 2019-08-19.
Jae Hoon Lee's current location address is 5016 Chesebro Rd, Agoura Hills, California. You can contact this provider via phone number 8185286164 and fax number 8189911200. The mailing address for Jae Hoon Lee is 5016 Chesebro Rd, Agoura Hills, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jae Hoon Lee |
|---|---|
| Address | 5016 Chesebro Rd, Agoura Hills, California |
| Phone Number | 8185286164 |
| Fax Number | 8189911200 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1912105297 |
|---|---|
| Provider Enumeration Date | 2007-07-06 |
| Last Updated Date | 2019-08-19 |
Provider Mailing Address Detail
| Address | 5016 Chesebro Rd |
|---|---|
| City | Agoura Hills |
| State | California (CA) |
| Post Code | 913012210 |
| Phone Number | 8185286164 |
| Fax Number | 8189911200 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Qg0300X |
| Licence No | A109172 |
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Definition: A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| A109172 | CA | LICENSE | |
| LL1795 | NV | NV MEDICAL LIC |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jae Hoon Lee by the Centers for Medicare & Medicaid Services?
The Jae Hoon Lee has been issued the NPI (National Provider Identifier) 1912105297 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Jae Hoon Lee is physically located?
The Jae Hoon Lee is situated at the following address: 5016 Chesebro Rd, Agoura Hills, CA 913012210.
What is Jae Hoon Lee's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jae Hoon Lee's area of specialization is Geriatric Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Qg0300X.
On what date did the Jae Hoon Lee receive its 1912105297 assignment from the Centers for Medicare & Medicaid Services?
The Jae Hoon Lee was assigned its 1912105297 by the Centers for Medicare & Medicaid Services on 2007-07-06.
As of what date was the information pertaining to Jae Hoon Lee, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jae Hoon Lee, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-08-19.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA