MEDICARE: JESSICA SZE-ENG LEE OTR/L

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
1	225X00000X	Occupational Therapist	13337	CA

General Provider Information

NPI Number	:	1669923595
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA SZE-ENG LEE OTR/L

Provider Business Mailing Address
First Line	:	3638 MOTOR AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90034-5702
Country	:	US
Telephone Number	:	310-204-8999
Fax Number	:

Provider Business Practice Location Address
First Line	:	1815 PURDUE AVE APT 104
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-7018
Country	:	US
Telephone Number	:	951-505-0806
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2016
Last Update Date	:	08/06/2025

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