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

Jaebeom Lee

Individual provider Dentist · NPI 1861238040

Jaebeom Lee is a Dentist in Anaheim, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

2364 W Lincoln Ave
Anaheim, CA 92801-5101
Phone: (714) 772-2698
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 110214 (CA)

Record details

NPI number1861238040
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 8, 2024
Last updated in NPPESJuly 8, 2024
Certification dateJuly 7, 2024
Mailing address2364 W Lincoln Ave, Anaheim, CA 92801-5101

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