Provider Demographics
NPI:1679004246
Name:LEE, JANET SEUNGMIN (DO)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:SEUNGMIN
Last Name:LEE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:280 NEWPORT CENTER DR STE 110
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-7541
Mailing Address - Country:US
Mailing Address - Phone:949-835-3054
Mailing Address - Fax:949-276-3221
Practice Address - Street 1:280 NEWPORT CENTER DR STE 110
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-7541
Practice Address - Country:US
Practice Address - Phone:949-835-3054
Practice Address - Fax:949-276-3221
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-24
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A16989207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine