Provider Demographics
NPI:1285705483
Name:LEE, JAMES (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:LEE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 ROSINGS
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92692-5154
Mailing Address - Country:US
Mailing Address - Phone:949-357-3500
Mailing Address - Fax:714-985-1251
Practice Address - Street 1:18340 YORBA LINDA BLVD
Practice Address - Street 2:SUITE 106
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92886-4058
Practice Address - Country:US
Practice Address - Phone:714-985-1248
Practice Address - Fax:714-985-1251
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-11
Last Update Date:2011-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58683183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist