Tae Jung Lee, L.Ac.
Acupuncturist in Yorba Linda, CA. Individual provider (NPI-1).
NPI number1962524751
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1962524751
- Entity type
- Individual (NPI-1)
- Name
- Tae Jung Lee
- Credential
- L.Ac.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 4, 2007
- Last updated
- Jul 8, 2007
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 |
|---|---|---|---|---|
| 171100000X | Acupuncturist | AC8107 | CA | Yes |
Practice location
16960 Bastanchury Rd Ste JYorba Linda, CA 92886-1711
Phone 714-943-8511 · Fax 714-993-3467
Mailing address
16960 Bastanchury Rd Ste JYorba Linda, CA 92886-1711
Phone 714-943-8511 · Fax 714-993-3467
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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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