Green Cross Medical Surgical Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

GREEN CROSS MEDICAL SURGICAL INC

Doing business as

PHILIP H. LEE
Philip H. Lee, DO

Practice address

7136 Haskell Ave Ste 205
Van Nuys, CA 91406-4112

Phone

(818) 908-4086

NPI assigned

Mar 26, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Scott R Lee

Title

Oa

Phone

(818) 314-6514

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 3

• PHILIP H. LEE Doing business as
• Philip H. Lee, DO Doing business as
• PHILIP H LEE, DO Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Philip H Lee, D.O.

  • General Practice Physician
  • Burbank, CA
  • NPI 1992981161
  NPD (past)
• Gebrehiwot Hailu Yibalih, FNP

  • Family Nurse Practitioner
  • Van Nuys, CA
  • NPI 1811870462
  NPD (past)

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560470400000",
    "number": "1003311713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7136 HASKELL AVE STE 205",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064112",
            "telephone_number": "818-908-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7136 HASKELL AVE STE 205",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064112",
            "telephone_number": "818-908-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN CROSS MEDICAL SURGICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-26",
        "last_updated": "2019-06-14",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OA",
        "authorized_official_telephone_number": "818-314-6514",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATION",
            "identifier": "1003311713",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHILIP H. LEE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Philip H. Lee, DO",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PHILIP H LEE, DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Primary Care Clinic/Center in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.