Justin Sewon Lee, MA is a
Student In An Organized Health Care Education/training Program based in Oakland, California. Justin Sewon Lee is licensed to practice in California (license number IMF 75918) and his current practice location is
401 Roland Way, Oakland, California. He can be reached at his office (for appointments etc.) via phone at
(510) 746-2800.
NPI number for Justin Sewon Lee is 1750566105 and his current mailing address is 14267 Lodgepole Dr, Penn Valley, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1750566105.
Healthcare Provider's Profile
| Full Name | Justin Sewon Lee |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 401 Roland Way, Oakland, 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: 1750566105
- Provider Enumeration Date: 01/04/2008
- Last Update Date: 10/13/2016
Medical Identifiers
Medical identifiers for Justin Sewon Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750566105 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | IMF 75918 (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. Justin Sewon 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 |
|---|
Justin Sewon Lee, MA
14267 Lodgepole Dr,
Penn Valley, CA 95946-9574
Ph: (408) 858-9490 | Justin Sewon Lee, MA
401 Roland Way,
Oakland, CA 94621-2034
Ph: (510) 746-2800 |
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