NPIMap

Individual provider Active NPI

Soledad O Lee, MD

  • Internal Medicine Physician
  • Buena Park, CA
National Provider Identifier
1063609097
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A35051 Issued in CA
Practice address
6888 Lincoln Ave
Ste M
Buena Park, CA 90620-4107
Phone
(714) 828-8400
Fax
(714) 828-0202
NPI assigned
Oct 3, 2007
Last updated
Oct 8, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A35051 CA Primary

Addresses

Primary practice location

6888 Lincoln Ave
Ste M
Buena Park, CA 90620-4107

Mailing address

6888 Lincoln Ave
Ste M
Buena Park, CA 90620-4107
Phone (714) 828-8400

Other identifiers 1

IdentifierTypeStateIssuer
00A350510MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090514000115 CA Practitioner - Internal Medicine 2567476898 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1974
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Corona, CA 92878
Phone (888) 959-8652

6888 Lincoln Ave
Suite M
Buena Park, CA 90620-4107
Phone (714) 828-8400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A35051CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anthem Wound Care Services Inc CurrentSince Dec 20, 2024 Accepting new patients
Opus Medical CurrentSince Jan 31, 2025 Accepting new patients
Soledad O Lee MD Inc CurrentSince Feb 16, 2009 Accepting new patients
Soledad O. Lee MD, Inc. Current Accepting new patients
Wound Rescue Specialist CurrentSince Nov 16, 2024 Accepting new patients
RPM Medical Group CurrentSince Mar 8, 2025 Accepting new patients
Home Visiting Doctors & Nurses Company CurrentSince Feb 22, 2025 Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients
JRD Medical Group Internal Medicine Past Accepting new patients

Locations

6888 Lincoln Ave
Ste J3
Buena Park, CA 90620

6888 Lincoln Ave
Ste M
Buena Park, CA 90620
Phone (714) 828-8400

22122 Sherman Way
Ste 311
Canoga Park, CA 91303
Phone (503) 878-2040

1611 Pomona Rd
Ste 231
Corona, CA 92878
Phone (714) 923-9045

438 E Katella Ave
Ste 226
Orange, CA 92867
Phone (760) 687-6968

25044 Peachland Ave
Ste 110
Santa Clarita, CA 91321

275 W Hospitality Ln
Ste 317
Sn Bernrdno, CA 92408
Phone (909) 763-3363

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286496000000",
    "number": "1063609097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6888 LINCOLN AVE",
            "address_2": "STE M",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204107",
            "telephone_number": "714-828-8400",
            "fax_number": "714-828-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6888 LINCOLN AVE",
            "address_2": "STE M",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204107",
            "telephone_number": "714-828-8400",
            "fax_number": "714-828-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SOLEDAD",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-03",
        "last_updated": "2010-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A35051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A350510",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

Verify at the official NPI Registry.