Samuel B Lee, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A116637 Issued in CA

Practice address

4605 Lankershim Blvd Ste 617
North Hollywood, CA 91602-1856

Phone

(707) 337-1470

NPI assigned

Apr 13, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• County of San Luis Obispo

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Paso Robles, CA
  • NPI 1134287634
  NPD

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366588800000",
    "number": "1083971162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2641 42ND AVE SW",
            "address_2": "APT #208",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164901",
            "telephone_number": "707-337-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 LANKERSHIM BLVD STE 617",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916021856",
            "telephone_number": "707-337-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SAMUEL",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-13",
        "last_updated": "2013-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A116637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eunice Lee
• Felicia Lee
• Jonathan Lee
• Lawrence Lee, D.D.S.
• Pei F Lee, L.AC
• Shannen Boyoung Lee
• Wonil Lee, M.D.
• Timothy Leetrakul
• Maria Teresa Legaspi
• Legend Health Care

• Psychiatry Physician in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; 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.