John C Lee MD, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A37292 Issued in CA

Legal business name

JOHN C LEE MD, INC

Practice address

638 W Duarte Rd
Suite 3a
Arcadia, CA 91007-7616

Phone

(626) 574-6878

Fax

(626) 574-2298

NPI assigned

Jul 10, 2010

Organization subpart

No

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

Authorized official

Name

John C Lee, M.D.

Title

Officer

Phone

(626) 574-6878

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

John C Lee MD Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• John C Lee MD Inc

  • Clinic/Center
  • Huntington Park, CA
  • NPI 1528235868
  NPD tax ID
• John C Lee, MD Inc

  • Internal Medicine Physician
  • San Gabriel, CA
  • NPI 1154504074
  NPD tax ID

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

{
    "created_epoch": "1278720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278720000000",
    "number": "1164734877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 W DUARTE RD",
            "address_2": "SUITE 3A",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077616",
            "telephone_number": "626-574-6878",
            "fax_number": "626-574-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 W DUARTE RD",
            "address_2": "SUITE 3A",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077616",
            "telephone_number": "626-574-6878",
            "fax_number": "626-574-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C LEE MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-10",
        "last_updated": "2010-07-10",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "626-574-6878",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A37292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487827929",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bo Jiang
• Cynthia Christine Jimenez
• Valerie Lynnette Jimenez
• Joe Yb Lee MD Inc
• John C Lee MD Inc
• John C. Holloway, M.D., Inc.
• John G. Colias, M.D., Inc.
• John P. Beauclair, M.D. Inc.
• Jennifer Duxbury Johnson, DRPH, PT, CSCS
• Kyra Johnson

• Internal Medicine Physician in Arcadia, CA
• Providers in Arcadia, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2010; 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.