person
Mrs. Grace Jin Lee, PA-C
Surgical Physician Assistant in Fullerton, California
NPI 1912961038

Grace Jin Lee is a Surgical Physician Assistant based in Fullerton, CA and is specialized in Surgical. Grace Jin Lee practices in Fullerton, CA and has the professional credentials of PA-C. The NPI Number for Grace Jin Lee is 1912961038 and holds a License No. PA16726 (California).

The current practice location address for Grace Jin Lee is 1950 Sunny Crest Dr, Fullerton, CA and can be reached out via phone at 714-446-5260 and via fax at 714-446-5265. You can also correspond with Grace Jin Lee through the mailing address at 1950 SUNNY CREST DR, FULLERTON, CA - 92835-3638 (mailing address contact number: 714-446-5260).

Location: 1950 Sunny Crest Dr, Fullerton, CA, 92835-3638
person
Provider Profile Details
NPI Number
1912961038
Provider Name
Grace Jin Lee
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1950 Sunny Crest Dr, Fullerton, CA, 92835-3638
Phone Number
714-446-5260
Fax Number
714-446-5265
Provider Enumeration Date
04/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G471930 05 CA
institution
Provider Business Practice Location Address Details
Address
1950 Sunny Crest Dr
City
State
Zip
92835-3638
Phone Number
714-446-5260
Fax Number
714-446-5265
person
Provider Business Mailing Address Details
Address
1950 Sunny Crest Dr
City
State
Zip
92835-3638
Phone Number
714-446-5260
Fax Number
714-446-5265
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA16726 (California)
Definition
Definition to come...
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