Jaesung Lee
Jaesung Lee is a Specialist in Thousand Oaks, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
301 S Moorpark RdThousand Oaks, CA 91361-1008
Phone: (805) 379-9646
Fax: (805) 379-0611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence G64716 (CA) |
|---|
Record details
| NPI number | 1609072503 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jaesung Lee — Owner · (805) 379-9646 |
| NPI enumerated | June 26, 2007 |
| Last updated in NPPES | August 27, 2010 |
| Mailing address | 301 S Moorpark Rd, Thousand Oaks, CA 91361-1008 |
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