Active NPI
CHI Min Lee, D.C.
- Chiropractor
- Los Angeles, CA
National Provider Identifier
1023286093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 29963
- Practice address
- 621 S Virgil Ave Ste 252
Los Angeles, CA 90005 - Phone
- (213) 263-9962
- Fax
- (213) 263-9019
- NPI assigned
- Feb 13, 2008
- Last updated
- Mar 19, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 29963 | CA | Primary |
Addresses
Primary practice location
621 S Virgil Ave Ste 252
Los Angeles, CA 90005
Mailing address
621 S Virgil Ave Ste 252
Los Angeles, CA 90005-4021
Phone (213) 263-9962
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29963 | Other | CA | CALIFORNIA CHIROPRACTIC LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150729007268 | CA | Practitioner - Chiropractic | 7719291277 | Practice locations: Los Angeles, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Los Angeles, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
621 S Virgil Ave
Suite 252
Los Angeles, CA 90005-4021
Phone (213) 263-9962
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barona Acupuncture & Herb Clinic | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Acupuncturist
- Los Angeles, CA
- NPI 1619638251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584576000000",
"number": "1023286093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 S VIRGIL AVE STE 252",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900054021",
"telephone_number": "213-263-9962",
"fax_number": "213-263-9019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 S VIRGIL AVE STE 252",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90005",
"telephone_number": "213-263-9962",
"fax_number": "213-263-9019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "CHI MIN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-13",
"last_updated": "2020-03-19",
"certification_date": "2020-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "29963",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA CHIROPRACTIC LICENSE",
"identifier": "29963",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.