Active NPI
Yongjae Lee
- Acupuncturist
- Santa Ana, CA
National Provider Identifier
1184965345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 4954
- Practice address
- 1411 N Bristol St
Santa Ana, CA 92706-3303 - Phone
- (714) 954-0232
- Fax
- (714) 954-0320
- NPI assigned
- Mar 12, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 4954 | CA | Primary |
Addresses
Primary practice location
1411 N Bristol St
Santa Ana, CA 92706-3303
Mailing address
1411 N Bristol St
Santa Ana, CA 92706-3303
Phone (714) 954-0232
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4954 | CA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363046400000",
"number": "1184965345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 N BRISTOL ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927063303",
"telephone_number": "714-954-0232",
"fax_number": "714-954-0320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 N BRISTOL ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927063303",
"telephone_number": "714-954-0232",
"fax_number": "714-954-0320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "YONGJAE",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-12",
"last_updated": "2013-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "4954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.