Delphine J. Lee MD PHD Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A80992 Issued in CA

Legal business name

DELPHINE J. LEE MD PHD INC

Practice address

2121 Santa Monica Blvd
Santa Monica, CA 90404-2303

Phone

(310) 449-5265

Fax

(310) 449-5273

NPI assigned

Feb 14, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Delphine Lee, MDNPI 1710911284

Title

Owner

Phone

(310) 449-5265

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Delphine Juihoa Lee, MD, PHD

  • Dermatology Physician
  • Santa Monica, CA
  • NPI 1710911284
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336089600000",
    "number": "1003189564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 SANTA MONICA BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042302",
            "telephone_number": "310-449-5265",
            "fax_number": "310-449-5273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 SANTA MONICA BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042303",
            "telephone_number": "310-449-5265",
            "fax_number": "310-449-5273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELPHINE J. LEE MD PHD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-14",
        "last_updated": "2012-05-04",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DELPHINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-449-5265",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A80992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A80992",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jay Delgado, DPT
• John Michael Delgado, MD
• Rocio Delgado, LMFT
• Louis F. Delia IV, PH.D.
• Alexa Dell
• Edward A Delshad, DDS
• Sean Delshad, M.D.
• Delson Chiropractic Inc.
• Dominique M. Delvecchio, N.P.
• Celia Sabin Demayo, MPT

• Dermatology Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.