Active NPI
Sanford K Lee, PH.D.
- Clinical Psychologist
- Palos Verdes Estates, CA
National Provider Identifier
1194930636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY10353
- Practice address
- 405 Via Corta
Palos Verdes Estates, CA 90274-1323 - Phone
- (310) 377-3070
- NPI assigned
- May 10, 2007
- Sex
- Male
- Sole proprietor
- No
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
- Credentials
- Doctor of Philosophy
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY10353 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
405 Via Corta
Palos Verdes Estates, CA 90274-1323
Mailing address
716 Yarmouth Rd Ste 203
Palos Verdes Estates, CA 90274-2668
Phone (310) 377-3070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 27, 2010.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264550400000",
"number": "1194930636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "716 YARMOUTH RD STE 203",
"city": "PALOS VERDES ESTATES",
"state": "CA",
"postal_code": "902742668",
"telephone_number": "310-377-3070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 VIA CORTA",
"city": "PALOS VERDES ESTATES",
"state": "CA",
"postal_code": "902741323",
"telephone_number": "310-377-3070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SANFORD",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-10",
"last_updated": "2010-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY10353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palos Verdes Estates, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.