Organization Active NPI

Yang W. Lee,M.D. Inc.

  • Family Medicine Physician
  • Long Beach, CA
National Provider Identifier
1083790984
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
YANG W. LEE,M.D. INC.
Practice address
5981 Atlantic Ave
Long Beach, CA 90805-3510
Phone
(562) 423-1424
Fax
(562) 422-7550
NPI assigned
Oct 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Yang Wen Lee, M.D.
Title
President
Phone
(562) 423-1424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5981 Atlantic Ave
Long Beach, CA 90805-3510

Mailing address

5981 Atlantic Ave
Long Beach, CA 90805-3510
Phone (562) 423-1424

Other identifiers 1

IdentifierTypeStateIssuer
00A303670MedicaidCA

National Provider Directory

National Provider Directory

Locations

5981 Atlantic Ave
Long Beach, CA 90805
Phone (562) 243-1424

16415 Colorado Ave
Ste 208
Paramount, CA 90723
Phone (562) 531-0015

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083790984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5981 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908053510",
            "telephone_number": "562-423-1424",
            "fax_number": "562-422-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5981 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908053510",
            "telephone_number": "562-423-1424",
            "fax_number": "562-422-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YANG W. LEE,M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "YANG",
        "authorized_official_middle_name": "WEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-423-1424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A303670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.