Individual provider Active NPI

Lung-Ching Lee, M.D.

  • Surgery Physician
  • Moreno Valley, CA
National Provider Identifier
1023339371
Registry record updated Jun 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
139429 Issued in CA
Practice address
26520 Cactus Ave
Moreno Valley, CA 92555
Phone
(951) 486-4000
NPI assigned
Jun 21, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery Physician 2086S0127X 139429 CA
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 139429 CA Primary
Surgical Critical Care Physician 2086S0102X 139429 CA

Addresses

Primary practice location

26520 Cactus Ave
Moreno Valley, CA 92555

Mailing address

2518 Greenfield Ave
Arcadia, CA 91006-5229
Phone (626) 731-8912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160523001836 CA Practitioner - General Surgery 5294972196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Medical College of Wisconsin, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advance Surgeons Medical Group IncGroup PAC ID 6608779160, 9 clinicians

Practice addresses (Care Compare)

18575 Gale Ave
City of Industry, CA 91748-1383
Phone (626) 457-6333

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
139429CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Surgeons Medical Group Inc Multi-Specialty CurrentSince Sep 1, 2019 Accepting new patients
Ahmc Whittier Hospital Medical Center LP Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients
Alhambra Hospital Medical Center, LP Past Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients
David C P Chen, M.D., Inc Multi-Specialty Past Accepting new patients

Locations

328 S 1st St
Ste Fg
Alhambra, CA 91801
Phone (626) 457-6333

101 Wheeler Ave
Ste C
Arcadia, CA 91006
Phone (626) 457-1933

18575 Gale Ave
Ste 295
City of Industry, CA 91748
Phone (626) 369-9663

120 W Hellman Ave
Ste 203
Monterey Park, CA 91754
Phone (626) 457-6333

525 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 573-2222

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: llee141812@direct.llu.edu

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527811200000",
    "number": "1023339371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2518 GREENFIELD AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910065229",
            "telephone_number": "626-731-8912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26520 CACTUS AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "92555",
            "telephone_number": "951-486-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "LUNG-CHING",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-21",
        "last_updated": "2018-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "CA",
            "license": "139429",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "139429",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "CA",
            "license": "139429",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

Verify at the official NPI Registry.