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Kyung Joon Lee

Sports Medicine Doctor

12665 Garden Grove Blvd Suite 600
Garden Grove , California 92843-1901

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Kyung Joon Lee

Sports Medicine Doctor

12665 Garden Grove Blvd Suite 600
Garden Grove , California 92843-1901

(714) 636-6636

Write a Review Save Call

Kyung Joon Lee

Sports Medicine Doctor

12665 Garden Grove Blvd Suite 600
Garden Grove , California 92843-1901

(714) 636-6636 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Sports Medicine Doctor

Languages spoken

  • English

Location

12665 Garden Grove Blvd Suite 600 Garden Grove , California 92843-1901

First Address

  • Kyung Joon Lee
  • 12665 Garden Grove Blvd Suite 600
  • Garden Grove, CA
  • Zip : 92843-1901
  • Fax : (714) 636-6636
  • Phone : (714) 636-7774

Second Address

  • Kyung Joon Lee
  • 12665 Garden Grove Blvd Suite 600
  • Garden Grove, CA
  • Zip : 92843-1901
  • Fax : (714) 636-6636
  • Phone : (714) 636-7774

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FAQs


Where did Kyung Joon Lee attend graduate school?

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Where did Kyung Joon Lee do his residency?

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Where did Kyung Joon Lee do his fellowship?

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Is Kyung Joon Lee board certified?

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What type of doctor is Kyung Joon Lee

Sports Medicine Doctor

In what state does Kyung Joon Lee practice in?

California

Where is Kyung Joon Lee ’s practice located?

12665 Garden Grove Blvd Suite 600 , Garden Grove, California, 92843-1901

What is Kyung Joon Lee ’s gender?

Male

Is Kyung Joon Lee a sole practitioner?

No

Is Kyung Joon Lee accepting new patients?

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What languages does Kyung Joon Lee speak?

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Does Kyung Joon Lee accept insurance?

Yes, Kyung Joon Lee accepts insurance

Does Kyung Joon Lee offers telemedicine?

Kyung Joon Lee has not indicated if he offers telemedicine

What is Kyung Joon Lee ’s professional license number?

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What is Kyung Joon Lee ’s NPI number?

1689622540

Does Kyung Joon Lee have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 204C00000X Sports Medicine Doctor A36130 CA

National Provider Identifier

NPI 1689622540
Provider Name Kyung Joon Lee
First Address Garden Grove, CA 92843-1901
Second Address Garden Grove, CA 92843-1901
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 04/05/2006
Last Update Date 19/01/2011

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
C35455 (02) CA

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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