Active NPI
Soledad O Lee MD Inc
- PACE Provider Organization
- Buena Park, CA
National Provider Identifier
1215023643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- PACE Provider Organization
- License
- A 35051
- Legal business name
- SOLEDAD O LEE MD INC
- Practice address
- 6888 Lincoln Ave
Suite M
Buena Park, CA 90620-4107 - Phone
- (714) 828-8400
- Fax
- (714) 828-0202
- NPI assigned
- Oct 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Soledad O Lee, MD
- Title
- Owner
- Phone
- (714) 828-8400
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) | Code | License | State | Primary |
|---|---|---|---|---|
| PACE Provider Organization | 251T00000X | A 35051 | CA | Primary |
Addresses
Primary practice location
6888 Lincoln Ave
Suite M
Buena Park, CA 90620-4107
Mailing address
6888 Lincoln Ave
Suite M
Buena Park, CA 90620-4107
Phone (714) 828-8400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Office of Dr Soledad Lee
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-Pharmacy Dispensing Site
- Buena Park, CA
- NPI 1275977969
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Buena Park, CA
- NPI 1063609097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1243555200000",
"number": "1215023643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6888 LINCOLN AVE",
"address_2": "SUITE M",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906204107",
"telephone_number": "714-828-8400",
"fax_number": "714-828-0202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6888 LINCOLN AVE",
"address_2": "SUITE M",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906204107",
"telephone_number": "714-828-8400",
"fax_number": "714-828-0202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOLEDAD O LEE MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-05",
"last_updated": "2009-05-29",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "SOLEDAD",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "714-828-8400",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "251T00000X",
"taxonomy_group": "",
"desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
"state": "CA",
"license": "A 35051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buena Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; 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.