Dr Sally Lee

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

20A8088 Issued in CA

Legal business name

DR SALLY LEE

Practice address

5965 Severin Dr
La Mesa, CA 91942-3806

Phone

(619) 583-4295

Fax

(619) 825-7300

NPI assigned

Apr 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sally Suk Yee Lee, MD,DO

Title

Physician

Phone

(619) 583-4295

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• San Diego Eye Professionals Doing business as

Locations

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1285859900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5965 SEVERIN DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423428",
            "telephone_number": "619-583-4295",
            "fax_number": "619-825-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5965 SEVERIN DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423806",
            "telephone_number": "619-583-4295",
            "fax_number": "619-825-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SALLY LEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "SUK YEE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "619-583-4295",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD,DO"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "20A8088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457468514",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX80880",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Diego Eye Professionals",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "San Diego Eye Professionals",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Medical Specialty Clinic/Center in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.