Yolanda D Mitchell-Lee, PA12002

Primary specialty

Military Health Care ProviderTaxonomy code 171000000X

License

PA12002 Issued in CA

Practice address

531 S Aprilia Ave
Compton, CA 90220-3418

Phone

(310) 537-7058

NPI assigned

Sep 28, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Yolanda D Lee Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1225547607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 S APRILIA AVE",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902203418",
            "telephone_number": "310-537-7058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 S APRILIA AVE",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902203418",
            "telephone_number": "310-537-7058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23011 Wilmington Ave",
            "address_purpose": "LOCATION",
            "city": "Carson",
            "state": "CA",
            "postal_code": "907455014",
            "country_code": "US",
            "telephone_number": "310-971-2174 x1008",
            "fax_number": "310-513-2044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL-LEE",
        "first_name": "YOLANDA",
        "middle_name": "D",
        "credential": "PA12002",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "CA",
            "license": "PA12002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YOLANDA",
            "last_name": "LEE",
            "middle_name": "D",
            "credential": "PA12002",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Military Health Care Provider in Compton, CA
• Providers in Compton, CA by specialty
• Military Health Care Provider in California

• 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.