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NPI Code Detail

MEDICARE: JU-IN LEE

MEDICARE: JU-IN LEE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1124959911
Entity Type Code : Individual
Provider Name (Legal Business Name) : JU-IN LEE
Provider Business Mailing Address
First Line : 291 N MADISON AVE APT 257
Second Line :
City : PASADENA
State : CA
Zip : 91101-4460
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9353 VALLEY BLVD STE C
Second Line :
City : ROSEMEAD
State : CA
Zip : 91770-1923
Country : US
Telephone Number : 626-287-2988
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2026
Last Update Date : 05/28/2026

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Directions to “ JU-IN LEE ” Practice Location

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