Jaewon Lee

NP | Nurse Practitioner | 8+ years Exp

661 W 1st St Ste G, Tustin
  California, 92780-2939
714-665-9890
Accepts Medicare Nurse Anesthetist in Tustin, California.
Jaewon Lee is a Tustin, California based nurse practitioner with 8 years of experience in . She completed her graduation in 2017. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jaewon Lee is NP95008747 in California. Her current practice location is 661 W 1st St Ste G, Tustin. Patients can reach her at 714-665-9890 or can fax her at 714-665-9891. Jaewon Lee is NP and her NPI number (Unique professional ID assigned by NPPES) is 1467941401.
Jaewon Lee has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Jaewon Lee speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Jaewon Lee
Specialization: Nurse Practitioner (NP)
Gender:Female
Credentials: NP
Experience: 8+ years
Medical School Attended:Other
Graduation Year:2017
Accepts Medicare Assignment:Yes
Practice Address:661 W 1st St Ste G, Tustin,
California, 92780-2939
Phone:714-665-9890
Fax:714-665-9891
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 5092106922
Enrollment ID: I20220103000336
NPI Number: 1467941401
NPI Enumeration Date: 04 May, 2018
NPI Last Update On: 22 Oct, 2025

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jaewon Lee are as mentioned below.
License NumberSpecializationStateStatus
NP95008747 CaliforniaPrimary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Jaewon Lee is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Andrew Wagner Md Pc (4789086455)7
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Jaewon Lee
661 W 1st St Ste G,
Tustin, California
Zip: 92780-2939
Phone Number: 714-665-9890
Fax Number: 714-665-9891
Patients can reach Jaewon Lee at 661 W 1st St Ste G, Tustin, California or can call to book an appointment on 714-665-9890.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.