Active NPI
Hyeong Ju Lee, DC
- Chiropractor
- La Habra, CA
National Provider Identifier
1205393683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 34441
- Practice address
- 1201 S Beach Blvd Ste 107
La Habra, CA 90631-6366 - Phone
- (714) 752-3352
- NPI assigned
- Feb 21, 2019
- Sex
- Male
- Sole proprietor
- No
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 | 34441 | CA | Primary |
Addresses
Primary practice location
1201 S Beach Blvd Ste 107
La Habra, CA 90631-6366
Mailing address
1201 S Beach Blvd Ste 107
La Habra, CA 90631-6366
Phone (714) 752-3352
Other practice location 1
14785 Jeffrey Rd Ste 210
Irvine, CA 92618-0420
Phone (714) 752-3352
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imperial Clinic | 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
- La Habra, CA
- NPI 1689202541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559692800000",
"number": "1205393683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 S BEACH BLVD STE 107",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906316366",
"telephone_number": "714-752-3352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 S BEACH BLVD STE 107",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906316366",
"telephone_number": "714-752-3352"
}
],
"practiceLocations": [
{
"address_1": "14785 Jeffrey Rd Ste 210",
"address_purpose": "LOCATION",
"city": "Irvine",
"state": "CA",
"postal_code": "926180420",
"country_code": "US",
"telephone_number": "714-752-3352",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "HYEONG",
"middle_name": "JU",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-21",
"last_updated": "2019-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "34441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Habra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.