JAY PUN LEE


Address: 23785 El Toro Rd, Suite 609, Lake Forest, CA 92630-4762
Phone: 8183499966

JAY PUN LEE (NPI# 1508881574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508881574
Entity Type Individual
Full Name JAY PUN LEE
Other Name JAY PUN LEE
Credential PA-C
Practice Address 23785 El Toro Rd
Suite 609
Lake Forest
CA 92630-4762
Practice Telephone 8183499966
Practice Fax Number 8183495615
Mailing Telephone 8183499966
Mailing Fax Number 8183495615
Enumeration Date 2006-07-12
Last Update Date 2015-06-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA15457 CA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA PA15457 05

Other Providers JAY LEE

NPI Name Taxonomy Address Enumeration
1518498856 Jay Lee Student in an Organized Health Care Education/Training Program 11234 Anderson St # C, Gme Office Westerly Ste, Loma Linda, CA 92354-2804 2017-03-27
1134418304 Jay Lee Dentist 2080 Century Park E Ste 610, Los Angeles, CA 90067-2009 2011-03-28
1376871269 Jay Chae-hun Lee Chiropractor 9909 Paramount Blvd, Suite A, Downey, CA 90240-3898 2009-12-03
1487862249 Jay Lee Dentist 10730 W 165th St, Orland Park, IL 60647 2007-05-17
1669433686 Jay Lee Optometrist 8386 Sudley Rd, Manassas, VA 20109-3428 2006-03-29
1518963321 Jay Kyung Lee Specialist 12980 Frederick St, Ste A, Moreno Valley, CA 92553-5263 2005-06-27
1255795597 Jay Lee Anesthesiology 601 Elmwood Ave, Rochester, NY 14642-5400 2016-04-13
1306279427 Jay Lee Student in an Organized Health Care Education/Training Program 1800 Orleans St, Baltimore, MD 21287-0010 2013-08-12
1225474588 Jay Soong-jin Lee Student in an Organized Health Care Education/Training Program 1275 York Ave, New York, NY 10065-6007 2013-05-14
1619225364 Jay Lee Chiropractor 2790 Lawrenceville Suwanee Rd, Suite 155, Suwanee, GA 30024-2671 2012-08-28

Office Location

Street Address 23785 EL TORO RD
SUITE 609
City LAKE FOREST
State CA
Zip Code 92630-4762

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194370338 Ashlee Nicole-morton Sourapas Midwife 22672 Lambert Street, Suite 611, Lake Forest, CA 92630 2019-08-05
1134784879 Scott Mach Enterprises Custodial Care Facility 23235 Cavanaugh Road, Lake Forest, CA 92630 2019-05-08
1992368930 James Daniel Ticorat Pharmacist 25051 Calle Arenal, Lake Forest, CA 92630 2019-04-16
1770058349 Tara L Anderson Physician Assistant 22365 El Toro Rd Unit 310, Lake Forest, CA 92630 2018-10-10
1659846855 Song W. Jung. Dds. Inc Dentist 23361 El Toro Rd, Ste 105, Lake Forest, CA 92630 2018-10-04
1326520867 Katherine Marie Billings Speech-Language Pathologist 25454 Navajo, Lake Forest, CA 92630 2018-08-31
1205339611 Orange County Physiotherapy Services, P.C. Physical Therapist 22821 Aspan St., #100, Lake Forest, CA 92630 2018-03-12
1295245587 Tara Rasta Chiropractor 22672 Lambert St Suite 620, Olsen Chiropractic, Lake Forest, CA 92630 2017-10-02
1750800132 Jessica Aguilar Marriage & Family Therapist 21153 Calle De Paseo, Lake Forest, CA 92630 2017-09-16
1275072589 Anhtu Wu Pharmacist 23182 Vista Way, Lake Forest, CA 92630 2017-02-20
Find all providers in zip 92630

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770058349 Tara L Anderson Physician Assistant 22365 El Toro Rd Unit 310, Lake Forest, CA 92630 2018-10-10
1083133250 Oana-diana Popescu Physician Assistant 24401 Muirlands Blvd Ste A, Lake Forest, CA 92630-3948 2017-09-19
1962939397 Katherine Reynolds Armstrong Physician Assistant 1200 N Westmoreland Rd Ste 100, Lake Forest, IL 60045-1601 2017-05-16
1801106794 Monica Alvarez Physician Assistant 23823 El Toro Rd, Suite E122, Lake Forest, CA 92630-4743 2010-10-14
1114953155 Stephanie Quilianna Fizzard Physician Assistant 25902 Tipperary Ln, Lake Forest, CA 92630-8059 2006-06-23
1104861384 Scott Cummings Baron Physician Assistant 22855 Lake Forest Dr Ste A, Lake Forest, CA 92630-1656 2006-06-19
1598746521 Karla E Stewart Physician Assistant 1000 N Westmoreland Rd Fl 3, Lake Forest, IL 60045-1658 2005-11-08
1194211888 Patrick Tyler Murphy Physician Assistant 800 N Westmoreland Rd Ste 102, Lake Forest, IL 60045 2018-07-05
1548754153 Kyle Cummisford Physician Assistant 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 2018-06-18
1396235792 Amalia Maria Megally Physician Assistant 1000 N Westmoreland Rd, Lake Forest, IL 60045 2018-05-11
Find all providers in LAKE FOREST

Competitor

Search similar providers

City LAKE FOREST
Zip Code 92630

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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