| James Jangwon Lee, DC | |
|
206 Holbrook, Irvine, CA 92620-2162 | |
| (714) 621-0327 | |
| Not Available |
| Full Name | James Jangwon Lee |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 206 Holbrook, Irvine, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922775303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 34981 (California) | Primary |
| Provider Name | Korean Community Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1861525602 PECOS PAC ID: 0446495105 Enrollment ID: O20211118000437 |
| Mailing Address | Practice Location Address |
|---|---|
| James Jangwon Lee, DC 13311 Garden Grove Blvd Ste B, Garden Grove, CA 92843-2202 Ph: (714) 621-0327 | James Jangwon Lee, DC 206 Holbrook, Irvine, CA 92620-2162 Ph: (714) 621-0327 |
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