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Dr. Jaesung Lee, MD
Otolaryngology Physician in Thousand Oaks, California
NPI 1376550715

Jaesung Lee is a Otolaryngology Physician based in Simi Valley, CA. Jaesung Lee practices in Thousand Oaks, CA and has the professional credentials of MD. The NPI Number for Jaesung Lee is 1376550715 and holds a License No. G64716 (California).

The current practice location address for Jaesung Lee is 301 S Moorpark Rd, Thousand Oaks, CA and can be reached out via phone at 805-379-9646 and via fax at 805-379-0611.

Location: 301 S Moorpark Rd, Thousand Oaks, CA, 93065-1530
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376550715
Provider Name
Jaesung Lee
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
301 S Moorpark Rd, Thousand Oaks, CA, 93065-1530
Phone Number
805-379-9646
Fax Number
805-379-0611
Provider Enumeration Date
08/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00957561 01 CA MEDICARE RAILROAD
G64716 01 CA LICENSE
institution
Provider Business Practice Location Address Details
Address
301 S Moorpark Rd
City
Thousand Oaks
State
California
Zip
91361-1008
Phone Number
805-379-9646
Fax Number
805-379-0611
person
Provider Business Mailing Address Details
Address
301 S Moorpark Rd
City
Thousand Oaks
State
California
Zip
91361-1008
Phone Number
805-379-9646
Fax Number
805-379-0611
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
-
Taxonomy
207Y00000X
License No.
G64716 (California)
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
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