Provider Demographics
NPI:1295050508
Name:LEE, MIN JUNG (MD)
Entity type:Individual
Prefix:DR
First Name:MIN JUNG
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:400 NEWPORT CENTER DR STE 401
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-7688
Mailing Address - Country:US
Mailing Address - Phone:949-791-3202
Mailing Address - Fax:949-791-3081
Practice Address - Street 1:400 NEWPORT CENTER DR STE 401
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-7688
Practice Address - Country:US
Practice Address - Phone:949-791-3202
Practice Address - Fax:949-791-3081
Is Sole Proprietor?:No
Enumeration Date:2010-03-30
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC1674122080P0201X, 207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No2080P0201XAllopathic & Osteopathic PhysiciansPediatricsPediatric Allergy/Immunology