Most Relevant Information
Provider Data
| NPI Number: | 1003388232 |
| Provider Name: | SEAN JIN HYUK LEE PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | PA56418 |
Most Important Dates
| Enumeration Date: | 12/28/2018 |
| Last Updated: | 09/06/2022 |
Provider Practice Location
200 UCLA MEDICAL PLZ STE 140
LOS ANGELES
CA
900958344
Practice Location Phone/Fax
| Phone: | 3107942536 |
| Fax: |
Provider Mailing Location
5767 W CENTURY BLVD STE 400
LOS ANGELES
CA
900455631
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |