Samuel K. Lee, M.D., Inc.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

G070695 Issued in CA

Legal business name

SAMUEL K. LEE, M.D., INC.

Practice address

201 S Alvarado St
Suite 622
Los Angeles, CA 90057-2320

Phone

(213) 413-2622

Fax

(213) 413-2922

NPI assigned

Jul 8, 2010

Last updated

Jul 8, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Samuel K. Lee, M.D.NPI 1922023043

Title

President

Phone

(213) 413-2622

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samuel K. Lee, M.D.

  • Urology Physician
  • Los Angeles, CA
  • NPI 1922023043
  Medicare reassignment NPD Authorized official
• Jayson Choi Jun, MSN, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Huntington Beach, CA
  • NPI 1760808240
  Medicare reassignment

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1164734158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1105",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910121105",
            "telephone_number": "213-413-2622",
            "fax_number": "213-413-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S ALVARADO ST",
            "address_2": "SUITE 622",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572320",
            "telephone_number": "213-413-2622",
            "fax_number": "213-413-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL K. LEE, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-08",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-413-2622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "G070695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA STATE LICENCE",
            "identifier": "G070695",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Samson
• Marc Arnold Samson, M.D.
• Samsung Care Pharmacy Inc
• Samsung Medical Supplies USA Corp. (Samsung Medical Supplies)
• Samuel J Porter M D a Medical Corporation
• Samuel Loh, MD, Inc
• Samuel Oschin Cancer Center
• Samuel P Smith MD . Inc
• Samuel Ross MD Inc
• Samuel Roxas and Leoncia Roxas Dental Corp

• Urology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.