Individual ProviderJae LeePsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address1188 N Euclid St, Anaheim, CA 92801-1900(714) 254-2747PECOS EnrollmentBased on the most recent information from CMS, provider Jae Lee is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1114246360Provider TypeIndividualFull NameLee, JaeGenderMaleSole ProprietorNoEnumeration Date5/27/2010Last Updated11/30/2021Contact InformationPractice LocationPractice Address1188 N Euclid St, Anaheim, CA 92801-1900Phone(714) 254-2747FaxUnlisted FaxMailing LocationMailing Address1188 N Euclid St, Anaheim, CA 92801-1900PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicense20A13074California