Organization Active NPI

Neuropsychiatric Medical Group

  • Psychiatry Physician
  • Alhambra, CA
National Provider Identifier
1366701633
Registry record updated May 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G51448 Issued in CA
Legal business name
NEUROPSYCHIATRIC MEDICAL GROUP
Practice address
723 South Garfield Ave. Ste. 303
Alhambra, CA 91801-4430
Phone
(626) 570-0041
Fax
(626) 570-0061
NPI assigned
May 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2012

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

Authorized official

Name
Dr. Wing-Ki Lee, M.D.
Title
President
Phone
(626) 570-0041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X G51448 CA Primary

Addresses

Primary practice location

723 South Garfield Ave. Ste. 303
Alhambra, CA 91801-4430

Mailing address

723 S Garfield Ave Ste 303
Alhambra, CA 91801-4430
Phone (626) 570-0041

Other identifiers 1

IdentifierTypeStateIssuer
00G51448MedicaidCA

National Provider Directory

National Provider Directory

Locations

723 S Garfield Ave
Ste 303
Alhambra, CA 91801
Phone (626) 214-5899

NPI Registry JSON

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336435200000",
    "number": "1366701633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 S GARFIELD AVE STE 303",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918014430",
            "telephone_number": "626-570-0041",
            "fax_number": "626-570-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 SOUTH GARFIELD AVE. STE. 303",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918014430",
            "telephone_number": "626-570-0041",
            "fax_number": "626-570-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPSYCHIATRIC MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-08",
        "last_updated": "2012-05-08",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "WING-KI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-570-0041",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G51448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G51448",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; 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.