MEDICARE: JULIE SUNGHEE 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
1	106H00000X	Marriage & Family Therapist	AMFT130639	CA

General Provider Information

NPI Number	:	1437005592
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE SUNGHEE LEE

Provider Business Mailing Address
First Line	:	2230 W CHAPMAN AVE # 226
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92868-2316
Country	:	US
Telephone Number	:	714-612-4464
Fax Number	:

Provider Business Practice Location Address
First Line	:	2230 W CHAPMAN AVE # 226
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92868-2316
Country	:	US
Telephone Number	:	714-612-4464
Fax Number	:

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

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

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