Peter Geon Lee, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G84673 Issued in CA

Practice address

3680 Wilshire Blvd Ste 202
Los Angeles, CA 90010-2709

Phone

(213) 383-4800

NPI assigned

Aug 4, 2009

Last updated

Feb 11, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Icured Medical Group Inc

  • Specialist
  • Costa Mesa, CA
  • NPI 1033866454
  NPD Authorized official
• Sutter Surgery Center, Inc

  • Clinic/Center
  • San Francisco, CA
  • NPI 1568116184
  NPD Authorized official
• Costa Mesa Surgery Center Inc

  • Surgery Physician
  • Costa Mesa, CA
  • NPI 1982183299
  NPD (past) Authorized official
• Wave Medical Group Inc

  • Surgery Physician
  • Costa Mesa, CA
  • NPI 1306328265
  Authorized official Same address or phone
• Wave Plastic Surgery Center

  dba Wave plastic surgery & laser center

  • Special Hospital
  • Los Angeles, CA
  • NPI 1720230840
  Authorized official Same address or phone
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1326279605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3680 WILSHIRE BLVD STE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102709",
            "telephone_number": "213-383-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 WILSHIRE BLVD STE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102709",
            "telephone_number": "213-383-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "PETER",
        "middle_name": "GEON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-04",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G8473",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G84673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pearl Yeawon Lee
• Pei Lim Brian Lee, M.D.
• Peiyee Lee, M.D., PH.D.
• Peter B Lee, D.D.S., M.S.
• Peter C Lee, M.D.
• Peter H. Lee, M.D.
• Poongwon Peter Lee, L.AC.
• Praise Lee
• Rachel Lee, D.D.S., M.S.
• Rachel Vania Lee, MD, MPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.