Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jaesung Lee, MD

Individual provider Otolaryngology Physician · NPI 1376550715

Dr. Jaesung Lee, MD is an Otolaryngology in Thousand Oaks, California. Graduated from Loma Linda University School of Medicine in 1987, 39 years ago. Practices with Bass Medical Group, a 292-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
39
Trained at
Loma Linda University School of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

301 S Moorpark Rd
Thousand Oaks, CA 91361-1008
Phone: (805) 379-9646
Fax: (805) 379-0611
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence G64716 (CA)

Record details

NPI number1376550715
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 1, 2006
Last updated in NPPESNovember 9, 2011
Mailing address2876 Sycamore Dr, Suite 303, Simi Valley, CA 93065-1530

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1987 (39 years in practice)
Group practice Bass Medical Group — 292 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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