Active NPI
Hanjoo Lee, MD
- Surgery Physician
- Torrance, CA
National Provider Identifier
1386030583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A173331
- Practice address
- 1000 W Carson St BLDG 1
Torrance, CA 90502-2059 - Phone
- (424) 306-8099
- NPI assigned
- Apr 14, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Surgery Physician | 208600000X | A173331 | CA | Primary |
Addresses
Primary practice location
1000 W Carson St BLDG 1
Torrance, CA 90502-2059
Mailing address
1000 West Carson Street
Building 1 East, Box 25
Torrance, CA 90502
Phone (424) 306-8099
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200608001852 | TX | Order and Referring Only - Colorectal Surgery (Proctology) | 1557782158 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A173331 | CA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647216000000",
"number": "1386030583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 WEST CARSON STREET",
"address_2": "BUILDING 1 EAST, BOX 25",
"city": "TORRANCE",
"state": "CA",
"postal_code": "90502",
"telephone_number": "424-306-8099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 W CARSON ST BLDG 1",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905022059",
"telephone_number": "424-306-8099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "HANJOO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-14",
"last_updated": "2022-03-14",
"certification_date": "2022-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A173331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.