Active NPI
Seungjoo Lee, PHARMD, RPH
- Pharmacist
- Tarzana, CA
National Provider Identifier
1407324171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 79769
- Practice address
- 18555 Ventura Blvd Ste a
Tarzana, CA 91356-4192 - Phone
- (818) 213-1000
- NPI assigned
- Nov 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 79769 | CA | Primary |
Addresses
Primary practice location
18555 Ventura Blvd Ste a
Tarzana, CA 91356-4192
Mailing address
314 N Ardmore Ave
Los Angeles, CA 90004-4414
Phone (213) 924-1972
Other names 1
- Dr. Seungjoo Lee
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
- Credentials
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79769 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Firstcare Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541808000000",
"number": "1407324171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 N ARDMORE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900044414",
"telephone_number": "213-924-1972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18555 VENTURA BLVD STE A",
"city": "TARZANA",
"state": "CA",
"postal_code": "913564192",
"telephone_number": "818-213-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SEUNGJOO",
"credential": "PHARMD, RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-10",
"last_updated": "2018-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "79769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SEUNGJOO",
"last_name": "LEE",
"prefix": "DR.",
"credential": "SEUNGJOO ELENA LEE",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.