Organization Active NPI

Annie D Lee MD Inc

  • Anesthesiology Physician
  • Woodland Hills, CA
National Provider Identifier
1245600550
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A110488 Issued in CA
Legal business name
ANNIE D LEE MD INC
Practice address
20750 Ventura Blvd
Ste.#210
Woodland Hills, CA 91364-2338
Phone
(818) 888-7815
Fax
(818) 715-1722
NPI assigned
Sep 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

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

Authorized official

Name
Annie Lee, MD
Title
Pressident/ Sole Owner
Phone
(951) 237-7114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X A110488 CA Primary

Addresses

Primary practice location

20750 Ventura Blvd
Ste.#210
Woodland Hills, CA 91364-2338

Mailing address

PO Box 7001
Tarzana, CA 91357-7001
Phone (818) 888-7815

National Provider Directory

National Provider Directory
Tax ID family
Annie D Lee MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1245600550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7001",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913577001",
            "telephone_number": "818-888-7815",
            "fax_number": "818-715-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20750 VENTURA BLVD",
            "address_2": "STE.#210",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642338",
            "telephone_number": "818-888-7815",
            "fax_number": "818-715-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNIE D LEE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "PRESSIDENT/ SOLE OWNER",
        "authorized_official_telephone_number": "951-237-7114",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A110488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.