JAE-KYUNG LEE (NPI# 1710168372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710168372 |
| Entity Type | Individual |
| Full Name | JAE-KYUNG LEE |
| Other Name | JACKIE LEE |
| Credential | M.A. |
| Practice Address |
100 E. Valencia Mesa Drive Suite #111 Fullerton CA 92835 |
| Practice Telephone | 7144410133 |
| Practice Fax Number | 7144411082 |
| Mailing Telephone | 7144410133 |
| Mailing Fax Number | 7144411082 |
| Enumeration Date | 2007-11-23 |
| Last Update Date | 2007-11-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | AU2459 | CA | Speech, Language and Hearing Service Providers |
| Street Address |
100 E. VALENCIA MESA DRIVE SUITE #111 |
| City | FULLERTON |
| State | CA |
| Zip Code | 92835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568466431 | Edward M Lee | Internal Medicine | 100 E. Valencia Mesa Drive, Suite 206, Fullerton, CA 92835 | 2005-06-09 |
| 1952477507 | Robert M Wald Jr. | Plastic Surgery | 100 E. Valencia Mesa Drive, #300, Fullerton, CA 92835 | 2006-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774302 | Natalie Baugh | Nutritionist | 333 W Bastanchury Rd 110, Fullerton, CA 92835 | 2020-09-09 |
| 1073127098 | Cecile Mae Sam | Physical Therapist | 2932 Clover Ct, Fullerton, CA 92835 | 2020-09-08 |
| 1861966087 | Kimson F Johnston | Marriage & Family Therapist | 1370 Brea Blvd Suite 210, Fullerton, CA 92835 | 2019-01-22 |
| 1134636327 | Michelle Harriman, Psychologist - A Professional Corporation | Psychologist | 1440 N Harbor Blvd Ste 808, Fullerton, CA 92835 | 2018-01-09 |
| 1659818631 | Jacqueline Rene Miller | Specialist/Technologist | 2610 Associated Rd, Apt A4, Fullerton, CA 92835 | 2017-01-27 |
| 1912361106 | John Nathaniel Alvarez | Psychiatry & Neurology | 401 E Imperial Highway, Fullerton, CA 92835 | 2016-04-13 |
| 1083075030 | Advance Recovery Solution, LLC | Substance Abuse Rehabilitation Facility | 3744 N Hermosa Pl, Fullerton, CA 92835 | 2016-03-17 |
| 1467817981 | Michele Ledesma | Physical Therapy Assistant | 2800 N. Harbor Blvd., Fullerton, CA 92835 | 2015-12-29 |
| 1467820571 | Jonghan Kang | Acupuncturist | 1321 N Harbor Blvd Ste 205, Fullerton, CA 92835 | 2015-09-04 |
| 1265840987 | Allison Leigh Kennedy | Physician Assistant | 100 Laguna Rd Ste 208, Fullerton, CA 92835 | 2014-07-25 |
| Find all providers in zip 92835 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366699134 | Celestina Maraney Rogers | Audiologist | 1440 N Harbor Blvd Fl 9, Fullerton, CA 92835-4127 | 2008-08-25 |
| 1699027102 | Connect Hearing, Inc. | Audiologist | 1440 N Harbor Blvd, 9th Floor, Fullerton, CA 92835-4127 | 2012-10-08 |
| 1285770073 | Michael James Davis | Audiologist | 1370 Brea Blvd, Suite 105, Fullerton, CA 92835-4125 | 2007-01-29 |
| 1306991344 | Erin Y Newman | Audiologist | 1321 N Harbor Blvd Ste 101, Fullerton, CA 92835-4129 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273856 | Jaclyn Marie Moor | Audiologist | 2452 Watson Ct Ste 1700, Palo Alto, CA 94303-3216 | 2020-10-20 |
| 1275130163 | Jessica E. Hiers | Audiologist | 2280 Diamnond Blvd, Suite 520, Concord, CA 94520 | 2020-10-05 |
| 1063029635 | Julia Rebecca Drouin | Audiologist | 520 N Brookhurst St Ste 107, Anaheim, CA 92801-5207 | 2020-09-28 |
| 1093329096 | Chad Walker | Audiologist | 20911 Earl St Ste 400, Torrance, CA 90503-4355 | 2020-09-07 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1518570779 | Lauren Jean Sandberg | Audiologist | 1805 N New Hampshire Ave, Los Angeles, CA 90027-4231 | 2020-08-27 |
| 1366052680 | Chenchen Zhang | Audiologist | 2280 Diamond Blvd Ste 520, Concord, CA 94520-5719 | 2020-08-01 |
| 1407464233 | Alexis Marina Ronney | Audiologist | 197 E Caroline St Ste 1100, San Bernardino, CA 92408-3731 | 2020-07-17 |
| 1033727961 | Nicholas Anthony Faillace | Audiologist | 3590 Camino Del Rio N Ste 201, San Diego, CA 92108-1707 | 2020-07-16 |
| 1316565633 | Meagan Michelle Bergeron | Audiologist | 6060 Hellyer Ave Ste 150, San Jose, CA 95138-1047 | 2020-07-13 |
| Find all providers with the same taxonomy | ||||
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| 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.