| Doctor Name: | DR. JEFFREY LEE |
| NPI Number: | 1659309128 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 9821 |
| Business Practice Address: | 24411 Health Center Dr Suite 680 Laguna Hills, CA - 926533651 |
| Business Phone Number: | 9492684568 |
| Business Fax Number: | |
| Mailing Address: | 17360 Brookhurst St, Attn: Mcmf - Credentialing Departmnet FOUNTAIN VALLEY |
| State: | CA |
| Postal Code: | 927083720 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 06/30/2006 |
| NPI Last Update Date: | 02/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 9821 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | HI |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |