Individual provider Active NPI

Harrison H Lee, MD, DMD, FACS

  • Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
  • Beverly Hills, CA
National Provider Identifier
1316115579
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianTaxonomy code 2082S0099X
License
G083622 Issued in CA
Practice address
120 S Spalding Dr Ste 350
Beverly Hills, CA 90212-1841
Phone
(310) 777-2627
Fax
(310) 777-2632
NPI assigned
Feb 11, 2008
Last updated
Mar 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician 2082S0099X G083622 CA Primary

Addresses

Primary practice location

120 S Spalding Dr Ste 350
Beverly Hills, CA 90212-1841

Mailing address

120 S Spalding Dr Ste 350
Beverly Hills, CA 90212-1841
Phone (310) 777-2627

Other names 1

  • Dr. Heeyoung Lee Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G083622CAMDPlastic Surgery Within the Head and Neck (Plastic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beverly Hills Eclipse Surgery Center Current Accepting new patients

Locations

120 S Spalding Dr
Ste 350
Beverly Hills, CA 90212
Phone (310) 205-4888

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": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1316115579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S SPALDING DR STE 350",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121841",
            "telephone_number": "310-777-2627",
            "fax_number": "310-777-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S SPALDING DR STE 350",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121841",
            "telephone_number": "310-777-2627",
            "fax_number": "310-777-2632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "HARRISON",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD, DMD, FACS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-11",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "CA",
            "license": "G083622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEEYOUNG",
            "last_name": "LEE",
            "prefix": "DR.",
            "credential": "MD, DMD, FACS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.