Jeong Su Lee
Pharmacist in Buena Park, CA. Individual provider (NPI-1).
NPI number1891658043
StatusActive
Last updated in NPPESDec 4, 2025
Details
- NPI
- 1891658043
- Entity type
- Individual (NPI-1)
- Name
- Jeong Su Lee
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 4, 2025
- Certification date
- Dec 4, 2025
- Last updated
- Dec 4, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 91450 | CA | Yes |
Practice location
5821 Beach Blvd Ste 101Buena Park, CA 90621-2021
Phone 714-752-6223
Mailing address
1901 E Dyer Rd Unit 537Santa Ana, CA 92705-5799
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 62 Pharmacist providers in Buena Park · All 1,129 providers in Buena Park
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