J & Y Wellness Group Inc

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

16509 Issued in NV

Legal business name

J & Y WELLNESS GROUP INC

Practice address

18 Moonfire Dr
Las Vegas, NV 89135-7800

Phone

(213) 248-8821

NPI assigned

Aug 16, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jae Hoon Lee, MD

Title

Provider

Phone

(702) 357-8811

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495584000000",
    "number": "1780139170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MOONFIRE DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891357800",
            "telephone_number": "213-248-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MOONFIRE DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891357800",
            "telephone_number": "213-248-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & Y WELLNESS GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-16",
        "last_updated": "2017-05-24",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JAE",
        "authorized_official_middle_name": "HOON",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "702-357-8811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NV",
            "license": "16509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Medicine (Internal Medicine) Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Geriatric Medicine (Internal Medicine) Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2017; 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.