Provider Demographics
NPI:1467693044
Name:NGUYEN-LEE, JENNIFER WU (MD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:WU
Last Name:NGUYEN-LEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JENNIFER
Other - Middle Name:WU
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:UCLA DEPARTMENT OF ANESTHESIOLOGY
Mailing Address - Street 2:757 WESTWOD PLZ, SUITE 3325
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90095-7403
Mailing Address - Country:US
Mailing Address - Phone:310-267-8655
Mailing Address - Fax:
Practice Address - Street 1:UCLA DEPARTMENT OF ANESTHESIOLOGY
Practice Address - Street 2:757 WESTWOD PLZ, SUITE 3325
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-7403
Practice Address - Country:US
Practice Address - Phone:310-267-8655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-12
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CAA107031207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program