Organization Active NPI

Sakoo Lee M.D. Inc.

  • Family Medicine Physician
  • Garden Grove, CA
National Provider Identifier
1245255140
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C50299 Issued in CA
Legal business name
SAKOO LEE M.D. INC.
Practice address
9764 Garden Grove Blvd
Garden Grove, CA 92844-1615
Phone
(714) 534-6400
Fax
(714) 899-8598
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sakoo Lee, M.D.
Title
President/Medical Director
Phone
(714) 534-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X C50299 CA Primary

Addresses

Primary practice location

9764 Garden Grove Blvd
Garden Grove, CA 92844-1615

Mailing address

9764 Garden Grove Blvd.
Garden Grove, CA 92844
Phone (714) 534-6400

Other names 1

  • Daesung Medical Center Doing business as

National Provider Directory

National Provider Directory

Locations

9764 Garden Grove Blvd
Garden Grove, CA 92844
Phone (714) 534-0007

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245255140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9764 GARDEN GROVE BLVD.",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "92844",
            "telephone_number": "714-534-6400",
            "fax_number": "714-899-8598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9764 GARDEN GROVE BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441615",
            "telephone_number": "714-534-6400",
            "fax_number": "714-899-8598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAKOO LEE M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SAKOO",
        "authorized_official_title_or_position": "PRESIDENT/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "714-534-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C50299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daesung Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.