Organization Active NPI

Lina Lee M D a Professional Corporation

  • Anesthesiology Physician
  • San Gabriel, CA
National Provider Identifier
1184639551
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A70424 Issued in CA
Legal business name
LINA LEE M D A PROFESSIONAL CORPORATION
Practice address
438 W Las Tunas Dr
San Gabriel, CA 91776-1216
Phone
(626) 289-5454
Fax
(626) 570-6555
NPI assigned
Jul 31, 2006
Last updated
Jul 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Authorized official

Name
Lina LeeNPI 1356405732
Title
Owner
Phone
(626) 203-8327

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
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X A70424 CA Primary

Addresses

Primary practice location

438 W Las Tunas Dr
San Gabriel, CA 91776-1216

Mailing address

225 S Lake Ave Ste 535
Pasadena, CA 91101-3010
Phone (626) 795-6596

Other identifiers 1

IdentifierTypeStateIssuer
00A704240OtherCABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041221000464 CA Part B Supplier - Clinic/Group Practice 2264490366 Receives reassigned benefits from 1 practitioner
Practice locations: Alhambra, CA; San Gabriel, CA; Pomona, CA; Chino, CA; Arcadia, CA

National Provider Directory

National Provider Directory

Locations

255 E Santa Clara St
Ste 110
Arcadia, CA 91006
Phone (626) 254-1800

255 E Bonita Ave
Bldg 3B
Pomona, CA 91767
Phone (909) 257-0600

207 S Santa Anita St
Ste G
San Gabriel, CA 91776
Phone (626) 347-3410

222 N Sunset Ave
Ste A
West Covina, CA 91790
Phone (626) 338-4545

Practitioners & affiliated clinicians

Practitioners 1

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": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783641600000",
    "number": "1184639551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S LAKE AVE STE 535",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013010",
            "telephone_number": "626-795-6596",
            "fax_number": "626-795-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 W LAS TUNAS DR",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761216",
            "telephone_number": "626-289-5454",
            "fax_number": "626-570-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINA LEE M D A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "LINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-203-8327"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A70424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A704240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.