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Contact Information

JI EUN LEE, MD
21601 AVALON BLVD. SUITE 124
CARSON, CA90745
 Phone: 657-241-4080
 Fax: 657-276-4740
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JI EUN LEE · (Female)

NPI # 1609305259
Status Active
Credentials MD
Entity Individual
Enumeration date 06/07/2017
Last updated 02/07/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CA License # A174189
  • IA License # R-10957
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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