Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | A92345 | CA |
NPI | 1336191980 |
---|---|
Provider Name | Dr. Jason Rhee |
First Address | Anaheim, CA 92809 |
Second Address | Los Angeles, CA 90020-1425 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2006 |
Last Update Date | 18/06/2019 |