Active NPI
Jinbae Lee
- Social Worker
- La Palma, CA
National Provider Identifier
1336975291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 6 Centerpointe Dr Ste 700
La Palma, CA 90623-2545 - Phone
- (213) 331-7774
- NPI assigned
- Sep 9, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CA | ||
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
6 Centerpointe Dr Ste 700
La Palma, CA 90623-2545
Mailing address
6 Centerpointe Dr Ste 700
La Palma, CA 90623-2545
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1336975291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 CENTERPOINTE DR STE 700",
"city": "LA PALMA",
"state": "CA",
"postal_code": "906232545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 CENTERPOINTE DR STE 700",
"city": "LA PALMA",
"state": "CA",
"postal_code": "906232545",
"telephone_number": "213-331-7774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JINBAE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-09",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Palma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.