Sam Un Lee, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A52391 Issued in CA

Practice address

3414 W Ball Rd
Suite K
Anaheim, CA 92804-3726

Phone

(714) 952-2100

Fax

(714) 952-2121

NPI assigned

Apr 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Unsuk Lee Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1053374652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3338",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928343338",
            "telephone_number": "714-952-2100",
            "fax_number": "714-952-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3414 W BALL RD",
            "address_2": "SUITE K",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043726",
            "telephone_number": "714-952-2100",
            "fax_number": "714-952-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SAM",
        "middle_name": "UN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A52391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A523910",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "UNSUK",
            "last_name": "LEE",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Myoungsoo Lee, L.AC.
• Namhyun Lee
• Patrick C Lee, D.D.S.
• Priscilla Y Lee
• Robert M Lee, L.AC.
• Sam Yeul Lee, L.AC.
• Sang Y Lee, L.AC. PH.D.
• Sang-Min Justin Lee, MD
• Sara Lee
• Seijin Lee, COTA

• Family Medicine Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.