Jaesung Lee is a Otolaryngology in Simi Valley, California. Jaesung Lee practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Jaesung Lee is 1376550715. The last update date is 2011-11-09.
Jaesung Lee's current location address is 2876 Sycamore Dr, Simi Valley, California. You can contact this provider via phone number 8055277320 and fax number 8055272426. The mailing address for Jaesung Lee is 2876 Sycamore Dr, Simi Valley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jaesung Lee |
|---|---|
| Address | 2876 Sycamore Dr, Simi Valley, California |
| Phone Number | 8055277320 |
| Fax Number | 8055272426 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1376550715 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2011-11-09 |
Provider Mailing Address Detail
| Address | 2876 Sycamore Dr |
|---|---|
| City | Simi Valley |
| State | California (CA) |
| Post Code | 930651530 |
| Phone Number | 8055277320 |
| Fax Number | 8055272426 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | G64716 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00957561 | CA | MEDICARE RAILROAD | |
| G64716 | CA | LICENSE |
Post Comment/ Review Below
What is the unique identification code assigned to Jaesung Lee by the Centers for Medicare & Medicaid Services?
The Jaesung Lee has been issued the NPI (National Provider Identifier) 1376550715. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jaesung Lee located?
The Jaesung Lee is located at 2876 Sycamore Dr, Simi Valley, CA 930651530.
What is Jaesung Lee's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jaesung Lee is Otolaryngology, and the corresponding taxonomy classification code for this specialized field is 207Y00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1376550715 to Jaesung Lee?
The Centers for Medicare & Medicaid Services assigned the 1376550715 to Jaesung Lee on 2006-08-01.
When was the information related to Jaesung Lee most recently updated or refreshed?
The details pertaining to the Jaesung Lee, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-11-09.
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