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

Jaeho Joshua Lee, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013752096

Jaeho Joshua Lee, PA-C is a Student in an Organized Health Care Education/Training Program in Gonzales, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2024
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

133 4th St
Gonzales, CA 93926
Phone: (831) 290-5100
Fax: (831) 290-5151
Show map & directions

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

Additional practice locations (1)

  • 588 Longmeadow St, Longmeadow, MA 01106-2292 — (800) 782-7284

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA66825 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1013752096
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 1, 2024
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026

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