Individual provider Active NPI

Lily L Lee, MD

  • Obstetrics & Gynecology Physician
  • Manhattan Beach, CA
National Provider Identifier
1255406880
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A77836 Issued in CA
Practice address
1000 N Sepulveda Blvd Ste 230
Manhattan Beach, CA 90266-5973
Phone
(310) 726-9072
Fax
(310) 726-9075
NPI assigned
Nov 21, 2006
Last updated
Dec 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A77836 CA Primary

Addresses

Primary practice location

1000 N Sepulveda Blvd Ste 230
Manhattan Beach, CA 90266-5973

Mailing address

1000 N Sepulveda Blvd Ste 230
Manhattan Beach, CA 90266-5973
Phone (310) 726-9072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jun 15, 2016 through Jun 15, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A77836CAMDObstetrics & Gynecology Physician
77836CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Beverly Hills Group of Women Physicians Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1255406880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N SEPULVEDA BLVD STE 230",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665973",
            "telephone_number": "310-726-9072",
            "fax_number": "310-726-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N SEPULVEDA BLVD STE 230",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665973",
            "telephone_number": "310-726-9072",
            "fax_number": "310-726-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "LILY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A77836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

Verify at the official NPI Registry.