| Jpl Mental Health | |
|
14860 Roscoe Blvd Ste 304 Panorama City CA 91402-4695 | |
| (949) 246-9750 | |
| (906) 254-3118 |
| Full Name | Jpl Mental Health |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 14860 Roscoe Blvd Ste 304, Panorama City, California |
| Authorized Official Name and Position | Jason P Lee (PSYCHIATRIST) |
| Authorized Official Contact | 7479995313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jpl Mental Health 14860 Roscoe Blvd Ste 304 Panorama City CA 91402-4695 Ph: (949) 246-9750 | Jpl Mental Health 14860 Roscoe Blvd Ste 304 Panorama City CA 91402-4695 Ph: (949) 246-9750 |
| NPI Number | 1265011001 |
|---|---|
| Provider Enumeration Date | 04/07/2021 |
| Last Update Date | 01/04/2023 |
| Certification Date | 01/04/2023 |
| Medicare PECOS PAC ID | 2860857158 |
|---|---|
| Medicare Enrollment ID | O20230419002529 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265011001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jason Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487188629 PECOS PAC ID: 3870838147 Enrollment ID: I20181214002823 |
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