JASON GONG-FUNG LEE

RANCHO CUCAMONGA, CA
NPI1194316604
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: CA  PA59315)
Enumeration Date2021-01-27
Last Update Date2024-06-10
Business Address
JASON GONG-FUNG LEE PA
9695 BASE LINE RD
RANCHO CUCAMONGA, CA 91730-1314
Phone number: 909-940-0920
Mailing Address
JASON GONG-FUNG LEE PA
9695 BASE LINE RD
RANCHO CUCAMONGA, CA 91730-1314
Phone number: 626-941-0920
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