Soledad O. Lee MD, Inc.

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

A35051 Issued in CA

Legal business name

SOLEDAD O. LEE MD, INC.

Practice address

6888 Lincoln Ave
Suite M
Buena Park, CA 90620-4107

Phone

(714) 828-8400

NPI assigned

Apr 24, 2013

Organization subpart

Yes

Parent organization

MEDVANTX, INC.As reported in NPPES

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

Authorized official

Name

Kenny Heine

Title

VP of Operations

Phone

(858) 964-1506

Specialties & licenses 1

Addresses

Other names 1

• Office of Dr. Soledad Lee Doing business as

Tax ID family

Office of Dr Soledad Lee2 organizations share this tax ID, including this one

Part of

Tri - State Medical Group Inc

Other organizations with this tax ID 1

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

• Soledad O Lee MD Inc

  • PACE Provider Organization
  • Buena Park, CA
  • NPI 1215023643
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Soledad O Lee, MD

  • Internal Medicine Physician
  • Buena Park, CA
  • NPI 1063609097
  NPD

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1275977969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6888 LINCOLN AVE",
            "address_2": "SUITE M",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204107",
            "telephone_number": "714-828-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLEDAD O. LEE MD, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "858-964-1506"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "A35051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Office of Dr. Soledad Lee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Lawrence Smith, M.D.
• Haena Yu So
• Soft Touch Family Dental
• Kil-Rang Sohn, LMT
• Soledad O Lee MD Inc
• Anna Mercedes Soltis
• Daniel Son
• Jeahee Jaycee Son, NP
• Lilia Son
• April Song

• Non-Pharmacy Dispensing Site in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Non-Pharmacy Dispensing Site in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.