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

Jeremy Lee, SFIDC

Individual provider Independent Duty Corpsman · NPI 1255945069

Jeremy Lee, SFIDC is an Independent Duty Corpsman in San Diego, California. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

509 Dennery Rd Apt 145
San Diego, CA 92154-8542
Phone: (916) 895-4954
Show map & directions

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

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1255945069
Entity typeIndividual (Type 1)
GenderMale
Credentials SFIDC
Sole proprietorNo
NPI enumeratedAugust 31, 2020
Last updated in NPPESAugust 31, 2020
Certification dateAugust 31, 2020

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