Lee, Jackson
Lee, Jackson is an individual health care provider with primary practice located at 1520 San Pablo St 2000, Los Angeles CA 90033-5310. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Lee, Jackson can be contacted via phone (323) 442-5860.Contact Information
Primary practice address
1520 San Pablo St 2000
Los Angeles CA 90033-5310
Phone: (323) 442-5860
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | G62123 | California |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | G62123 | California |
Profile Details
| NPI number | 1669527289 |
|---|---|
| LBN Legal business name | Lee, Jackson |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Mar 2nd, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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