Healthcare Provider Details

I. General information

NPI: 1154235919
Provider Name (Legal Business Name): YEJIN LEE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANE LEE PHARMD

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 GARDEN VIEW RD
ENCINITAS CA
92024-2477
US

IV. Provider business mailing address

1200 GARDEN VIEW RD STE 200
ENCINITAS CA
92024-2475
US

V. Phone/Fax

Practice location:
  • Phone: 760-536-7700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number80791
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: