Search › California › 363A00000X
Jaeho Lee, PA-C
NPI 1013752096 · on the registry since 2024
Practice
- Address
- 133 4th St
Gonzales, CA 93926 - Phone
- (831) 290-5100
- Fax
- (831) 290-5151
Additional practice sites
- 588 Longmeadow St, Longmeadow, MA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 390200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-04-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California