OrganizationActive
Jaesung Lee
NPI 1609072503 · Specialist · Thousand Oaks, CA
Jaesung Lee is a Specialist organization in Thousand Oaks, CA (NPI 1609072503).
Provider details
- NPI number
- 1609072503
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Jaesung Lee, Owner(805) 379-9646
- License
- G64716 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
301 S Moorpark Rd
Thousand Oaks, CA 91361-1008
Phone: (805) 379-9646
Fax: (805) 379-0611
Street-level locationGet directions
Mailing address
301 S Moorpark Rd
Thousand Oaks, CA 91361-1008
Registry dates
- Enumerated
- 2007-06-26
- Last updated
- 2010-08-27
Frequently asked questions
- What is Jaesung Lee's NPI number?
- Jaesung Lee's National Provider Identifier (NPI) is 1609072503, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jaesung Lee?
- Jaesung Lee is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Jaesung Lee located?
- Jaesung Lee's practice location on file with NPPES is 301 S Moorpark Rd, Thousand Oaks, CA 91361-1008.
- What is Jaesung Lee's phone number?
- The practice phone number listed in the NPPES registry for Jaesung Lee is (805) 379-9646.
- Who is the authorized official for Jaesung Lee?
- The authorized official listed on Jaesung Lee's NPPES record is Jaesung Lee, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jaesung Lee's NPI active?
- Yes — Jaesung Lee's NPI (1609072503) is active in the NPPES registry as of the last update on 2010-08-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.