Jae-Kyung Lee, M.A.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AU2459 Issued in CA

Practice address

100 E. Valencia Mesa Drive
Suite #111
Fullerton, CA 92835

Phone

(714) 441-0133

Fax

(714) 441-1082

NPI assigned

Nov 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jackie Lee Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195776000000",
    "number": "1710168372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E. VALENCIA MESA DRIVE",
            "address_2": "SUITE #111",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "92835",
            "telephone_number": "714-441-0133",
            "fax_number": "714-441-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E. VALENCIA MESA DRIVE",
            "address_2": "SUITE #111",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "92835",
            "telephone_number": "714-441-0133",
            "fax_number": "714-441-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JAE-KYUNG",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-23",
        "last_updated": "2007-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU2459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACKIE",
            "last_name": "LEE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Faith Mideum Lee, PHARMD
• Grace Jin Lee, P.A.-C
• Hoon Hee Lee
• Irene Song Lee, OTD, OTR/L
• Ivan Jisoo Lee, MD
• James Horng-Hwai Lee, OT
• James J Lee, M.D
• Jamie J. Lee, D.D.S.
• Jamie M Lee
• Janelle Lee

• Audiologist in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Audiologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2007; 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.