Lee, Jong In
Lee, Jong In is an sole proprietor health care provider with primary practice located at 5471 La Palma Ave Ste 205 , La Palma CA 90623-1733. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Lee, Jong In can be contacted via phone (714) 521-6690.Contact Information
Primary practice address
5471 La Palma Ave Ste 205
La Palma CA 90623-1733
Phone: (714) 521-6690
Fax: (714) 521-9367
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A37705 | California |
Profile Details
| NPI number | 1548363492 |
|---|---|
| LBN Legal business name | Lee, Jong In |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 6th, 2006 |
| Last updated | Oct 31st, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548363492 | NPPES |
| California | MEDICAID | 00A377050 |
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