| Jae H. Lee Md Inc | |
|
27725 Santa Margarita Pkwy Ste 220 Mission Viejo CA 92691-6707 | |
| (877) 830-7328 | |
| Not Available |
| Full Name | Jae H. Lee Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 27725 Santa Margarita Pkwy Ste 220, Mission Viejo, California |
| Authorized Official Name and Position | Katrina Ling (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3104804556 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jae H. Lee Md Inc 27725 Santa Margarita Pkwy Ste 220 Mission Viejo CA 92691-6707 Ph: () - | Jae H. Lee Md Inc 27725 Santa Margarita Pkwy Ste 220 Mission Viejo CA 92691-6707 Ph: (877) 830-7328 |
| NPI Number | 1336879790 |
|---|---|
| Provider Enumeration Date | 06/16/2022 |
| Last Update Date | 06/16/2022 |
| Medicare PECOS PAC ID | 6608234000 |
|---|---|
| Medicare Enrollment ID | O20230616000640 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336879790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207QH0002X | Family Medicine - Hospice And Palliative Medicine | (* (Not Available)) | Secondary |
| Provider Name | Jae Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912105297 PECOS PAC ID: 1355513326 Enrollment ID: I20111017000706 |
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