Henry Lee, MD Inc

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

G46949 Issued in CA

Legal business name

HENRY LEE, MD INC

Practice address

1545 Higuera St
San Luis Obispo, CA 93401-2917

Phone

(805) 546-2876

NPI assigned

Jun 13, 2008

Organization subpart

No

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

Authorized official

Name

Henry Lee, MDNPI 1104845502

Title

President

Phone

(805) 546-2876

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Henry Lee, M.D

  • Neurology Physician
  • Nipomo, CA
  • NPI 1104845502
  NPD (past) Authorized official

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1407016314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 544",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934060544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 HIGUERA ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012917",
            "telephone_number": "805-546-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY LEE, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-13",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-546-2876",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G46949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darla Henderson
• Laura Henderson
• Malia Pearl Henderson, AUD
• Benjamin Kevin Hendricks, MD
• Robert D Henretig, M.D.
• Marjorie June Henry, LMFT
• Cayla Hensley
• Krisitna Rose Henson, SERVICE COORDINATOR
• Peggy Henson
• Debbi M. Heredia

• Neurology Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.