Active NPI
Rene Lee Medical Inc
- Pediatrics Physician
- Rancho Cucamonga, CA
National Provider Identifier
1316657836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- RENE LEE MEDICAL INC
- Doing business as
- Cucamonga Pediatrics
- Practice address
- 8235 Rochester Ave Ste 120
Rancho Cucamonga, CA 91730-0719 - Phone
- (909) 484-4900
- Fax
- (909) 781-2949
- NPI assigned
- Nov 28, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rene Yeung
- Title
- President
- Phone
- (626) 236-7573
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
8235 Rochester Ave Ste 120
Rancho Cucamonga, CA 91730-0719
Mailing address
232 Ramona Ave
Sierra Madre, CA 91024-2430
Phone (626) 236-7573
Other names 1
- Cucamonga Pediatrics
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2283090 | Rene Lee Medical Inc | Certificate of waiver | May 31, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Rancho Cucamonga, CA
- NPI 1467694000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669593600000",
"number": "1316657836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 RAMONA AVE",
"city": "SIERRA MADRE",
"state": "CA",
"postal_code": "910242430",
"telephone_number": "626-236-7573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8235 ROCHESTER AVE STE 120",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917300719",
"telephone_number": "909-484-4900",
"fax_number": "909-781-2949"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENE LEE MEDICAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-28",
"last_updated": "2022-11-28",
"certification_date": "2022-11-26",
"status": "A",
"authorized_official_last_name": "YEUNG",
"authorized_official_first_name": "RENE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "626-236-7573"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cucamonga Pediatrics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.