Jae Lee, is a
Acupuncturist based in Pacoima, California. Jae Lee is licensed to practice in California (license number AC9097) and his current practice location is
12411 Osborne St, Unit 45, Pacoima, California. He can be reached at his office (for appointments etc.) via phone at
(213) 435-8309.
NPI number for Jae Lee is 1205241320 and his current mailing address is 12411 Osborne St, Unit 45, Pacoima, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1205241320.
Healthcare Provider's Profile
| Full Name | Jae Lee |
|---|
| Gender | Male |
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| Speciality | Acupuncturist |
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| Location | 12411 Osborne St, Pacoima, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1205241320
- Provider Enumeration Date: 06/26/2014
- Last Update Date: 12/15/2016
Medical Identifiers
Medical identifiers for Jae Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205241320 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | AC9097 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jae Lee is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jae Lee,
12411 Osborne St, Unit 45,
Pacoima, CA 91331-2000
Ph: () - | Jae Lee,
12411 Osborne St, Unit 45,
Pacoima, CA 91331-2000
Ph: (213) 435-8309 |
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