Organization Active NPI

John a Lee MD a Medical Corporation

  • Neurological Surgery Physician
  • Westlake Village, CA
National Provider Identifier
1225217292
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
JOHN A LEE MD A MEDICAL CORPORATION
Practice address
1250 La Venta Dr Ste 207
Westlake Village, CA 91361-3766
Phone
(805) 497-9484
Fax
(805) 495-2572
NPI assigned
Oct 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Alisa Yoo
Title
Billing Manager
Phone
(818) 817-9832

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X CA Primary

Addresses

Primary practice location

1250 La Venta Dr Ste 207
Westlake Village, CA 91361-3766

Mailing address

1250 La Venta Dr Ste 207
Westlake Village, CA 91361-3766
Phone (805) 497-9484

Other identifiers 1

IdentifierTypeStateIssuer
00G1218100MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1225217292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 LA VENTA DR STE 207",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613766",
            "telephone_number": "805-497-9484",
            "fax_number": "805-495-2572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 LA VENTA DR STE 207",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613766",
            "telephone_number": "805-497-9484",
            "fax_number": "805-495-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A LEE MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "YOO",
        "authorized_official_first_name": "ALISA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "818-817-9832",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G1218100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.