Hanmi Medical Clinic LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

22482 Issued in WA

Legal business name

HANMI MEDICAL CLINIC LLC

Practice address

9115 S Tacoma Way Ste 105
Lakewood, WA 98499-4400

Phone

(253) 581-4564

Fax

(253) 581-6484

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Moo Keun Lee, MDNPI 1396765467

Title

Doctor

Phone

(253) 581-4564

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

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 2

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

• Moo K Lee, M.D.

  • Family Medicine Physician
  • Lakewood, WA
  • NPI 1396765467
  Medicare reassignment Care Compare group NPD Authorized official
• Jongsoo Lee, MD

  • Gastroenterology Physician
  • Lakewood, WA
  • NPI 1962376616
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1114042447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9115 S TACOMA WAY STE 105",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984994400",
            "telephone_number": "253-581-4564",
            "fax_number": "253-581-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9115 S TACOMA WAY STE 105",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984994400",
            "telephone_number": "253-581-4564",
            "fax_number": "253-581-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANMI MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MOO",
        "authorized_official_middle_name": "KEUN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "253-581-4564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "22482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020536",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John S Han, D.C.
• Moongi Han, MAOM
• Marija Athina Haney
• Christina Marie Hankins, MAC
• Anthony Hanley
• Tesla Hanrahan
• Amber Hansen
• Robyn Renay Hansen
• Daniel Carl Thomas Hanson
• Katrina Hanson

• Family Medicine Physician in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.