Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Sung Don Lee, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1407203342

Mr. Sung Don Lee, PA-C is a Student in an Organized Health Care Education/Training Program in Orange, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

280 S Main St Ste 200
Orange, CA 92868-3852
Phone: (714) 634-4567
Fax: (714) 634-4569
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4311 11th Ave Ne, Seattle, WA 98105-6366 — (206) 616-4001

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA55078 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1407203342
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 20, 2016
Last updated in NPPESMarch 24, 2020
Certification dateMarch 24, 2020

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