Active NPI
Clifford Suk-Jae Lee, L.AC., DIPL.OM
- Acupuncturist
- Garden Grove, CA
National Provider Identifier
1083829691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC11744
- Practice address
- 9872 Chapman Ave
Suite 201
Garden Grove, CA 92841-2733 - Phone
- (714) 539-3902
- Fax
- (714) 539-3902
- NPI assigned
- May 14, 2007
- Last updated
- Jul 23, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC11744 | CA | Primary |
Addresses
Primary practice location
9872 Chapman Ave
Suite 201
Garden Grove, CA 92841-2733
Mailing address
9872 Chapman Ave
Suite 201
Garden Grove, CA 92841-2733
Phone (714) 539-3902
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC11744 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pih Health Whittier Hospital | Past | Accepting new patients | |
| Panacure Acupuncture Inc | Acupuncturist | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Whittier, CA
- NPI 1043215379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248307200000",
"number": "1083829691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9872 CHAPMAN AVE",
"address_2": "SUITE 201",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928412733",
"telephone_number": "714-539-3902",
"fax_number": "714-539-3902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9872 CHAPMAN AVE",
"address_2": "SUITE 201",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928412733",
"telephone_number": "714-539-3902",
"fax_number": "714-539-3902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "CLIFFORD",
"middle_name": "SUK-JAE",
"name_prefix": "Mr.",
"credential": "L.AC., DIPL.OM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-14",
"last_updated": "2009-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC11744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.