Lee, Jason Gong-Fung

Lee, Jason Gong-Fung is an individual health care provider with primary practice located at 9695 Base Line Rd , Rancho Cucamonga CA 91730-1314. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Lee, Jason Gong-Fung can be contacted via phone (909) 940-0920.

Contact Information

Primary practice address
9695 Base Line Rd Rancho Cucamonga CA 91730-1314
Phone: (909) 940-0920
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA59315 California

Profile Details

NPI number 1194316604
LBN Legal business name Lee, Jason Gong-Fung
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2021
Last updated Jun 10th, 2024 - about 2 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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