MR. JIMMY SEUNG-SUP LEE NPI 1689334930

NPI Information

NPI: 1689334930
Provider Name: MR. JIMMY SEUNG-SUP LEE
Classification: Registered Nurse - 163WP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
1290 TAVERN RD
MAMMOTH LAKES, CA
ZIP 93546
Phone: (760) 924-1740
Get Directions

MR. Jimmy Seung-sup Lee is a psychiatric/mental health registered nurse in Mammoth Lakes, CA. MR. Jimmy Seung-sup Lee NPI is 1689334930. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1290 TAVERN RD
MAMMOTH LAKES, CA
ZIP 93546-601
Phone: (760) 924-1740

The enumeration date for this NPI number is 12/28/2021 and was last updated on 12/28/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0808X	Registered Nurse	Psychiatric/Mental Health	790804	CALIFORNIA	Yes

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

NPI Synchronization or Removal

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