Active NPI
Shawn D. Lee, D.C.
- Chiropractor
- Los Angeles, CA
National Provider Identifier
1194775072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC29789
- Practice address
- 505 Shatto PL
# 203
Los Angeles, CA 90020-1754 - Phone
- (213) 736-0450
- NPI assigned
- May 11, 2006
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC29789 | CA | Primary |
Addresses
Primary practice location
505 Shatto PL
# 203
Los Angeles, CA 90020-1754
Mailing address
525 S Berendo St
# 205
Los Angeles, CA 90020-2284
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29789 | CA | MD | Clinical Social Worker |
| DC29789 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shawn D Lee Chiropractic Rehab, Inc | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Los Angeles, CA
- NPI 1699119784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211328000000",
"number": "1194775072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 S BERENDO ST",
"address_2": "# 205",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900202284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 SHATTO PL",
"address_2": "# 203",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900201754",
"telephone_number": "213-736-0450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SHAWN",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2008-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC29789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.