Organization Active NPI

Dr. Lee Pain & Wellness Acupuncture, Inc

  • Acupuncturist
  • Anaheim, CA
National Provider Identifier
1174240063
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
DR. LEE PAIN & WELLNESS ACUPUNCTURE, INC
Doing business as
Dr. Lee Pain & Wellness Acupuncture, Inc
Practice address
421 N Brookhurst St Ste 106
Anaheim, CA 92801-5618
Phone
(657) 201-3630
Fax
(213) 261-0959
NPI assigned
Oct 21, 2022
Last updated
Oct 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Authorized official

Name
Taeyoung Lee, L.ACNPI 1235747833
Title
Ceo
Phone
(657) 201-3630

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
Acupuncturist 171100000X NU Primary

Addresses

Primary practice location

421 N Brookhurst St Ste 106
Anaheim, CA 92801-5618

Mailing address

421 N Brookhurst St Ste 106
Anaheim, CA 92801-5618
Phone (657) 201-3630

Other names 1

  • Dr. Lee Pain & Wellness Acupuncture, Inc Doing business as

National Provider Directory

National Provider Directory

Locations

421 N Brookhurst St
Ste 106
Anaheim, CA 92801
Phone (657) 201-3630

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1174240063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 N BROOKHURST ST STE 106",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015618",
            "telephone_number": "657-201-3630",
            "fax_number": "213-261-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 N BROOKHURST ST STE 106",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015618",
            "telephone_number": "657-201-3630",
            "fax_number": "213-261-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LEE PAIN & WELLNESS ACUPUNCTURE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-21",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "TAEYOUNG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "657-201-3630",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Lee Pain & Wellness Acupuncture, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.