Active NPI
Hoil Lee, M.D.
- Surgery Physician
- Hawaiian Gardens, CA
National Provider Identifier
1114055290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A34379
- Practice address
- 21520 Pioneer Blvd
Suite 204
Hawaiian Gardens, CA 90716-2603 - Phone
- (562) 402-9779
- Fax
- (562) 402-9449
- NPI assigned
- Mar 1, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A34379 | CA | Primary |
Addresses
Primary practice location
21520 Pioneer Blvd
Suite 204
Hawaiian Gardens, CA 90716-2603
Mailing address
PO Box 4257
Palos Verdes Peninsula, CA 90274-9576
Phone (562) 402-9779
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A34379 | Other | CA | STATE LICENSE NUMBER |
| 00A343790 | Medicaid | CA | |
| P00086261 | Other | CA | RAILROAD MCARE ID# |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A34379 | CA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1114055290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4257",
"city": "PALOS VERDES PENINSULA",
"state": "CA",
"postal_code": "902749576",
"telephone_number": "562-402-9779",
"fax_number": "562-402-9449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21520 PIONEER BLVD",
"address_2": "SUITE 204",
"city": "HAWAIIAN GARDENS",
"state": "CA",
"postal_code": "907162603",
"telephone_number": "562-402-9779",
"fax_number": "562-402-9449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "HOIL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-01",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A34379",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "A34379",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A343790",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MCARE ID#",
"identifier": "P00086261",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hawaiian Gardens, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.