person
Young Tae Lee, PNHNP
Psychiatric/Mental Health Registered Nurse in Agoura Hills, California
NPI 1225780562

Young Tae Lee is a Psychiatric/Mental Health Registered Nurse based in Agoura Hills, CA and is specialized in Psychiatric/Mental Health. Young Tae Lee practices in Agoura Hills, CA and has the professional credentials of PNHNP. The NPI Number for Young Tae Lee is 1225780562 and holds a License No. 95019749 (California).

The current practice location address for Young Tae Lee is 30423 Canwood St Ste 123, Agoura Hills, CA and can be reached out via phone at 818-385-1219 and via fax at 818-385-1600.

Location: 30423 Canwood St Ste 123, Agoura Hills, CA, 91301-4314
person
Provider Profile Details
NPI Number
1225780562
Provider Name
Young Tae Lee
Credential
PNHNP
Provider Entity Type
Individual
Gender
Male
Address
30423 Canwood St Ste 123, Agoura Hills, CA, 91301-4314
Phone Number
818-385-1219
Fax Number
818-385-1600
Provider Enumeration Date
01/18/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
30423 Canwood St Ste 123
City
State
Zip
91301-4314
Phone Number
818-385-1219
Fax Number
818-385-1600
person
Provider Business Mailing Address Details
Address
30423 Canwood St Ste 123
City
State
Zip
91301-4314
Phone Number
818-385-1219
Fax Number
818-385-1600
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
95158737 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
95019749 (California)
Definition
Definition to come...
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