Active NPI
John a Lee MD a Medical Corporation
- Neurological Surgery Physician
- Westlake Village, CA
National Provider Identifier
1225217292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G1218100 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI 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.