Organization Active NPI

La Lee OBGYN Medical Associate

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
National Provider Identifier
1154557734
Registry record updated Jun 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
C50371 Issued in CA
Legal business name
LA LEE OBGYN MEDICAL ASSOCIATE
Practice address
3130 W Olympic Blvd
Suite 360
Los Angeles, CA 90006-2484
Phone
(323) 735-0100
Fax
(323) 735-7300
NPI assigned
Jun 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2009

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

Authorized official

Name
Dr. Sangjoon J Lee, M.D.NPI 1053423327
Title
President
Phone
(323) 735-0100

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
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X C50371 CA Primary

Addresses

Primary practice location

3130 W Olympic Blvd
Suite 360
Los Angeles, CA 90006-2484

Mailing address

PO Box 76120
Los Angeles, CA 90076-0120
Phone (323) 735-0100

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": "1244505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244505600000",
    "number": "1154557734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 76120",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900760120",
            "telephone_number": "323-735-0100",
            "fax_number": "323-735-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 W OLYMPIC BLVD",
            "address_2": "SUITE 360",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062484",
            "telephone_number": "323-735-0100",
            "fax_number": "323-735-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA LEE OBGYN MEDICAL ASSOCIATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-09",
        "last_updated": "2009-06-09",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SANGJOON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-735-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "C50371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; 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.