Active NPI
Eric Gim Lee, DC, NP
- Family Nurse Practitioner
- Westchester, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP95020519
- Practice address
- 6506 Arizona Ave
Westchester, CA 90045-1330 - Phone
- (424) 339-7577
- NPI assigned
- Sep 17, 2006
- Last updated
- Jul 21, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95020519 | CA | |
| Family Nurse Practitioner | 363LF0000X | NP95020519 | CA | Primary |
| Chiropractor | 111N00000X | DC25160 | CA |
Addresses
Primary practice location
6506 Arizona Ave
Westchester, CA 90045-1330
Mailing address
1150 W Capitol Dr Unit 38
San Pedro, CA 90732-2269
Phone (310) 325-7246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4560 Admiralty Way
Marina del Rey, CA 90292-5448
Phone (310) 306-8876
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25160 | CA | MD | Clinical Psychologist |
| DC25160 | CA | MD | Chiropractor |
| 95020519 | CA | MD | Family Nurse Practitioner |
| NP95020519 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Neuro Medical Services Inc | Current | Accepting new patients | |
| Avalon Wellness Center | Chiropractor | Past | Accepting new patients |
Locations
4560 Admiralty Way
Ste 352
Marina del Rey, CA 90292
Phone (310) 306-8876
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Brain Injury Medicine (Psychiatry & Neurology) Physician
- Marina del Rey, CA
- NPI 1447833405
-
dba HealthFirst Wellness Center
- Chiropractor
- Torrance, CA
- NPI 1912046145
-
- Physical Medicine & Rehabilitation Physician
- Westchester, CA
- NPI 1053022004
-
- Chiropractor
- Torrance, CA
- NPI 1952584328
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Memorial Hospital of Gardena
- General Acute Care Hospital
- Gardena, CA
- NPI 1063412005
-
dba Centinela Hospital Medical Center
- General Acute Care Hospital
- Inglewood, CA
- NPI 1336328244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721520000000",
"number": "1245337872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 W CAPITOL DR UNIT 38",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907322269",
"telephone_number": "310-325-7246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6506 ARIZONA AVE",
"city": "WESTCHESTER",
"state": "CA",
"postal_code": "900451330",
"telephone_number": "424-339-7577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ERIC",
"middle_name": "GIM",
"credential": "DC, NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-17",
"last_updated": "2024-07-21",
"certification_date": "2024-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95020519",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP95020519",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC25160",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westchester, CA
- Kathy Susan Kaprinyak, DMD
- Kentwood Chiropractic
- Samson Lam, D.D.S.
- Lauren a. Mathews D.DS., Incorporated (Mathews Dental Group)
- Leslie Ann Lauterbach-Davis, D.C.
- Leighton Greer Looney
- Monica Puentes DDS, Inc
- Vincent Hellmut Newman, P.T., ATRIC
- Anchalee Sorayuth Parker
- Playa Nursing & Health Services Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.