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JAY KYUNG LEE M.D. APC NPI 1023423803


NPI Information

NPI: 1023423803
Provider Name: JAY KYUNG LEE M.D. APC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
7724 CALIFORNIA AVE
RIVERSIDE, CA
ZIP 92504
Phone: (951) 977-8525
Get Directions

JAY KYUNG LEE M.D. APC is an obstetrics gynecology in Riverside, CA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. JAY KYUNG LEE M.D. APC NPI is 1023423803. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

7724 CALIFORNIA AVE
RIVERSIDE, CA
ZIP 92504-509
Phone: (951) 977-8525
Fax: (951) 977-8527

The provider's authorized official is Jay Kyung Lee .
The authorized official title is Owner and has the following contact phone number (951) 977-8525.

The enumeration date for this NPI number is 6/30/2014 and was last updated on 10/16/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyA85767CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A857670MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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