Individual provider Active NPI

Kirby Kwok Yung Lee, D.C., LAC,

  • Chiropractor
  • Alhambra, CA
National Provider Identifier
1124169990
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28117 Issued in CA
Practice address
41 North Garfield Ave.
# 103
Alhambra, CA 91801-3556
Phone
(626) 404-7373
NPI assigned
Feb 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC28117 CA Primary
Acupuncturist 171100000X AC10621 CA

Addresses

Primary practice location

41 North Garfield Ave.
# 103
Alhambra, CA 91801-3556

Mailing address

333 W Garvey Ave
#B546
Monterey Park, CA 91754-7430
Phone (626) 512-4578

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
AC10621CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Kirby Kwok Yung Lee DC Chiropractor PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1124169990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W GARVEY AVE",
            "address_2": "#B546",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917547430",
            "telephone_number": "626-512-4578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 NORTH GARFIELD AVE.",
            "address_2": "# 103",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013556",
            "telephone_number": "626-404-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KIRBY",
        "middle_name": "KWOK YUNG",
        "name_prefix": "Dr.",
        "credential": "D.C., LAC,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28117",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC10621",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.