NPIMap

Organization Active NPI

Flee MD, a Medical Corporation

  • General Acute Care Hospital
  • Venice, CA
National Provider Identifier
1104125848
Registry record updated Mar 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
A100693 Issued in CA
Legal business name
FLEE MD, A MEDICAL CORPORATION
Practice address
815 4TH Ave
Venice, CA 90291-3015
Phone
(714) 785-5263
NPI assigned
Mar 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2011

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

Authorized official

Name
Dr. Faye Maryann Lee, MDNPI 1063628618
Title
President/Ceo
Phone
(714) 785-5263

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X A100693 CA Primary

Addresses

Primary practice location

815 4TH Ave
Venice, CA 90291-3015

Mailing address

815 4TH Ave
Venice, CA 90291-3015
Phone (714) 785-5263

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300665600000",
    "number": "1104125848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 4TH AVE",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902913015",
            "telephone_number": "714-785-5263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 4TH AVE",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902913015",
            "telephone_number": "714-785-5263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLEE MD, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-21",
        "last_updated": "2011-03-21",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "FAYE",
        "authorized_official_middle_name": "MARYANN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "714-785-5263",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "A100693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.