Individual provider Active NPI

Elizabeth Minna Lee, DAOM, L.AC.

  • Acupuncturist
  • Lakewood, CA
National Provider Identifier
1013610203
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
19402 Issued in CA
Practice address
5150 Candlewood St Ste 4B
Lakewood, CA 90712-1900
Phone
(562) 294-1045
NPI assigned
Mar 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 19402 CA Primary

Addresses

Primary practice location

5150 Candlewood St Ste 4B
Lakewood, CA 90712-1900

Mailing address

13603 Orange Ave
Paramount, CA 90723-7155

Other practice location 1

23440 Hawthorne Blvd Ste 280
Torrance, CA 90505-4751
Phone (424) 504-3808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
19402CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1013610203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13603 ORANGE AVE",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907237155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 CANDLEWOOD ST STE 4B",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121900",
            "telephone_number": "562-294-1045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23440 Hawthorne Blvd Ste 280",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905054751",
            "country_code": "US",
            "telephone_number": "424-504-3808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "ELIZABETH",
        "middle_name": "MINNA",
        "credential": "DAOM, L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-24",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "19402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.