Brian Kisub Lee, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

33875 Issued in CA

Practice address

3948 Wilshire Blvd # 200
Los Angeles, CA 90010-3303

Phone

(323) 289-8601

Fax

(323) 289-8603

NPI assigned

Mar 28, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellmate Dr Lee Chiropractic Clinic IncGroup PAC ID 2769876143, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wellmate Dr Lee Chiropractic Clinic Inc

  • Chiropractor
  • Los Angeles, CA
  • NPI 1821607268
  Medicare reassignment Care Compare group NPD Authorized official
• Spine Solution Chung Chiropractic Inc.

  • Chiropractor
  • La Canada Flintridge, CA
  • NPI 1922554625
  NPD (past)
• Spine Solution Chung Chiropractic, Inc.

  • Chiropractor
  • Los Angeles, CA
  • NPI 1730453606
  NPD (past)

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1295296598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 S LUCERNE BLVD APT 112",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900053783",
            "telephone_number": "213-210-8763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3948 WILSHIRE BLVD # 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103303",
            "telephone_number": "323-289-8601",
            "fax_number": "323-289-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "BRIAN",
        "middle_name": "KISUB",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-28",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Lee, M.D.
• Brian Lee, PHARMD
• Brian Lee, M.D.
• Brian Adrian Lee, M.D.
• Brian B Lee, M.D.
• Brian L Lee, MD
• Byung Lee, D.O
• Byung Han Lee, D.C
• Byung Wook Lee, D.D.S.
• Caleb Michael Lee, B.S.

• Chiropractor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.