Jon Lake, MD

NPI 1295768786 · on the registry since 2006

Practice

Address: 12601 Garden Grove Blvd
Garden Grove, CA 92843
Phone: (714) 741-2765
Fax: (714) 590-2490
Organisation at this address: D S Kim Md Inc
Thomas Ho Md Inc
Lifang Mao Md Inc
Tchang Jun Kim Md Inc
Gihan G George M D Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 28

Registry record

Primary taxonomy: 207ZC0500X
207ZC0500X
Also registered as: 207ZP0102X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-09-11

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