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1730197062 NPI number — JAWCHYI LEE MD

NPI Number: 1730197062
Health Care Provider/Practitioner: JAWCHYI LEE MD

Information about “1730197062” NPI (JAWCHYI LEE MD) exists in 1730197062 in HTML format HTML  |  1730197062 in plain Text format TXT  |  1730197062 in PDF (Portable Document Format) PDF  |  1730197062 in an XML format XML  formats.

NPI Number : 1730197062 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1730197062",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LEE",
    "FirstName": "JAWCHYI",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LEE",
    "OtherFirstName": "JAW-CHYI",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "16835 ALGONQUIN ST # 125",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HUNTINGTON BEACH",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92649-3810",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "310-529-7734",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "13428 MAXELLA AVENUE #759",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MARINA DEL REY",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90292-6090",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "310-529-7734",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/03/2006",
    "LastUpdateDate": "10/13/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207P00000X",
          "TaxonomyName": "Emergency Medicine Physician",
          "LicenseNumber": "01097875A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "207P00000X",
          "TaxonomyName": "Emergency Medicine Physician",
          "LicenseNumber": "A70318",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207P00000X",
          "TaxonomyName": "Emergency Medicine Physician",
          "LicenseNumber": "76929",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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