JAE YOUNG LEE
NPI 1952004095
Nurse Practitioner - Family in Victorville, CA

Q: What is Jae Young Lee's NPI number?

The NPI number for Jae Young Lee is 1952004095. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Q: What is Jae Young Lee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jae Young Lee was last updated on November 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 27, 2023

15095 AMARGOSA RD STE 102, VICTORVILLE, CA 92394(760) 552-4470 Get Directions Write a Review

NPPES record last updated: November 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 24, 2023, Mar 27, 2023 (2 updates tracked since 2023).

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About Jae Young Lee NPPES

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

JAE YOUNG LEE (NPI 1952004095) is an individual family provider in Victorville, California, licensed in California (NP95024373) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1952004095

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJAE YOUNG LEE

Location Address15095 AMARGOSA RD STE 102Victorville, CA 92394-1875

Mailing Address7425 S 9th St. #119Buena Park, CA 90621-7425 · (425) 243-7085

Phone(760) 552-4470

Sole ProprietorYes

Enumeration DateMarch 27, 2023

Last NPPES UpdateNovember 24, 20232 updates tracked since enumeration

NPPES CertifiedNovember 24, 2023

✔ NPI 1952004095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · NP95024373

15095 AMARGOSA RD STE 102, Victorville, CA 92394

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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 Jae Young Lee's NPI number?

The NPI number for Jae Young Lee is 1952004095. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Jae Young Lee located?

Jae Young Lee practices at 15095 Amargosa Rd Ste 102, Victorville, CA 92394. The listed phone number is (760) 552-4470.

What is Jae Young Lee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jae Young Lee was last updated on November 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.