Jae H. Lee MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JAE H. LEE MD INC

Practice address

27725 Santa Margarita Pkwy Ste 220
Mission Viejo, CA 92691-6707

Phone

(877) 830-7328

NPI assigned

Jun 16, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Katrina Ling

Title

Chief Financial Officer

Phone

(310) 480-4556

Specialties & licenses 2

Addresses

Electronic endpoints 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1336879790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27725 SANTA MARGARITA PKWY STE 220",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27725 SANTA MARGARITA PKWY STE 220",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916707",
            "telephone_number": "877-830-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAE H. LEE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "LING",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "310-480-4556"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Katrina@supportivenetwork.com",
            "affiliation": "N",
            "address_1": "27725 Santa Margarita Pkwy Ste 220",
            "city": "Mission Viejo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926916707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mia Lanise Jackson, LVN
• Jaclyn Nobakht Pmhnp-BC Psychiatric Nursing Services Inc
• Anita Joy Jacob, MS
• Richard Jacob, M.D.
• Joanna R Jacobo
• Susan Jane Jaeckel, B.A.
• Fatemeh Jafari Farshami, M.D.
• Zahra Jafarian-Blourchian, SLP
• Roxanna Jahangirian
• Navid Jahed, M.D.

• Family Medicine Physician in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.