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JAESUNG LEE
NPI 1609072503
Specialist in Thousand Oaks, CA

Active since June 26, 2007
301 S MOORPARK RD, THOUSAND OAKS, CA 91361(805) 379-9646(805) 379-0611 Get Directions Write a Review

NPPES record last updated: August 27, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jaesung Lee NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAESUNG LEE (NPI 1609072503) is a healthcare organization registered as a specialist in Thousand Oaks, California and active in the NPI registry since June 2007. The organization lists Jaesung Lee, Owner, as its authorized official.

NPPES Registry Identity

NPI1609072503
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameJAESUNG LEE
Location Address301 S MOORPARK RDThousand Oaks, CA 91361-1008
Mailing Address301 S Moorpark RdThousand Oaks, CA 91361-1008 · (805) 379-9646 · Fax (805) 379-0611
Phone(805) 379-9646
Fax(805) 379-0611
Organization SubpartNo
Authorized OfficialJaesung LeeOwner · (805) 379-9646
Enumeration DateJune 26, 2007
Last NPPES UpdateAugust 27, 2010
✔ NPI 1609072503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · G64716
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.
301 S MOORPARK RD, Thousand Oaks, CA 91361
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Other Identifiers 5

OtherG64716CA · License
Medicare PING64716BCA
Medicare PING64716ACA
Medicare UPINF36189CA
Medicare PING64716CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRYAN KEROPIAN DDS. A PROFESSIONAL CORPORATION
Dentist
301 S MOORPARK RD
THOUSAND OAKS, CA 91361
Los Angeles County (818) 881-7233
DR. GARY SCOTT VOORMAN M.D.
Otolaryngology
301 S MOORPARK RD
THOUSAND OAKS, CA 91361
Los Angeles County (805) 379-9646
EMILY TERESA DARCHANGELO AU.D.
Audiologist
301 S MOORPARK RD
THOUSAND OAKS, CA 91361
Los Angeles County (805) 379-0824
DR. KELVIN LOH M.D.
Otolaryngology
301 S MOORPARK RD
THOUSAND OAKS, CA 91361
Los Angeles County (805) 379-9646
DR. JAESUNG LEE M.D.
Otolaryngology
301 S MOORPARK RD
THOUSAND OAKS, CA 91361
Los Angeles County (805) 379-9646
TAYLOR HOLT AUD
Audiologist
301 S MOORPARK RD
THOUSAND OAKS, CA 91361
Los Angeles County (805) 379-0824
DR. MAKENA GRAY AUD
Audiologist
301 S MOORPARK RD
THOUSAND OAKS, CA 91361
Los Angeles County (805) 379-0824
KELVIN LOH, MD. FACS.
Otolaryngology (Sleep Medicine)
301 S MOORPARK RD
THOUSAND OAKS, CA 91361
Los Angeles County (805) 379-9646

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaesung Lee's NPI number?

The NPI number for Jaesung Lee is 1609072503. It was assigned to this organization in the NPPES registry on June 26, 2007.

Where is Jaesung Lee located?

Jaesung Lee is located at 301 S Moorpark Rd, Thousand Oaks, CA 91361. The listed phone number is (805) 379-9646.

What is Jaesung Lee's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jaesung Lee was last updated on August 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.