Lee, Jae Won

Lee, Jae Won is an sole proprietor health care provider with primary practice located at 1717 E Birch St Dd206, Brea CA 92821-5121. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Lee, Jae Won can be contacted via phone (714) 943-9241.

Contact Information

Primary practice address
1717 E Birch St Dd206 Brea CA 92821-5121
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 15281 California

Profile Details

NPI number 1427492032
LBN Legal business name Lee, Jae Won
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2013
Last updated Apr 25th, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427492032 NPPES
California MEDICAID 15281

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