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

Kaitlin Lee

Individual provider Physician Assistant · NPI 1639765944

Kaitlin Lee is a Physician Assistant in Tustin, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

2875 Baxter
Tustin, CA 92782-1333
Phone: (714) 293-9976
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60482 (CA)
Physician Assistant Taxonomy 363A00000X (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1639765944
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 21, 2020
Last updated in NPPESDecember 9, 2021
Certification dateDecember 2, 2021
Mailing address2875 Baxter, Tustin, CA 92782-1333

Other providers in Tustin