Majestic Medical Clinic, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A62993 Issued in CA

Legal business name

MAJESTIC MEDICAL CLINIC, INC.

Practice address

817 Atlantic Ave # 14
Long Beach, CA 90813-4512

Phone

(562) 453-5236

NPI assigned

Dec 15, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Christina Dary Lee, M.D.NPI 1225035025

Title

Owner/Medical Director

Phone

(562) 453-5236

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christina D. Lee, MD

  • Family Medicine Physician
  • Long Beach, CA
  • NPI 1225035025
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450137600000",
    "number": "1083079289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 ATLANTIC AVE # 14",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908134512",
            "telephone_number": "562-453-5236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 ATLANTIC AVE # 14",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908134512",
            "telephone_number": "562-453-5236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJESTIC MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-15",
        "last_updated": "2015-12-15",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "DARY",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "562-453-5236",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A62993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madelynn Alexandra Main, M.S. CCC-SLP
• Susan Mais-Requejo, D.P.T.
• Jill E. Maiten, NURSE PRACTITIONER
• Christine M. Maitland-Koeh, M.S.W.
• Michael Paul Majancsik, D.C.
• Katherine Ann Majewski, ACSW
• Carmen Nicole Majied-Muhammad, PSY.D.
• Amir Elijah Major
• Jimmy Mak, LAC PHD
• Richard Chun-Bond Mak, BA

• Family Medicine Physician in Long Beach, CA
• Providers in Long Beach, 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 Dec 15, 2015; 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.

Verify at the official NPI Registry.