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

Mr. Jimmy Seung-Sup Lee

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1689334930

Mr. Jimmy Seung-Sup Lee is a Psychiatric/Mental Health Registered Nurse in Mammoth Lakes, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021

Practice location Address checks out

1290 Tavern Rd
Mammoth Lakes, CA 93546-6601
Phone: (760) 924-1740
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence 790804 (CA)

Record details

NPI number1689334930
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 28, 2021
Last updated in NPPESDecember 28, 2021
Certification dateDecember 28, 2021