Active NPI
Kang W. Lee, M.D.
- Specialist
- Whittier, CA
National Provider Identifier
1417047440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A32376
- Practice address
- 12291 E Washington Blvd
Whittier, CA 90606-2500 - Phone
- (562) 789-7712
- Fax
- (562) 789-7719
- NPI assigned
- Oct 13, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A32376 | CA | Primary |
Addresses
Primary practice location
12291 E Washington Blvd
Whittier, CA 90606-2500
Mailing address
PO Box 1277
Whittier, CA 90609-1277
Phone (562) 906-6470
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A32376 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204675200000",
"number": "1417047440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1277",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906091277",
"telephone_number": "562-906-6470",
"fax_number": "562-946-9465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12291 E WASHINGTON BLVD",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906062500",
"telephone_number": "562-789-7712",
"fax_number": "562-789-7719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "KANG",
"middle_name": "W.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2008-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A32376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whittier, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.