Organization Active NPI

Ching G. Lee M.D. Inc

  • Internal Medicine Physician
  • Anaheim, CA
National Provider Identifier
1447586920
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G61762 Issued in CA
Legal business name
CHING G. LEE M.D. INC
Practice address
408 S. Beach Blvd
#203
Anaheim, CA 92804-1877
Phone
(714) 527-9111
Fax
(714) 527-7426
NPI assigned
Oct 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Authorized official

Name
Ching G Lee, M.D.NPI 1821105321
Title
Owner
Phone
(714) 527-9111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X G61762 CA Primary

Addresses

Primary practice location

408 S. Beach Blvd
#203
Anaheim, CA 92804-1877

Mailing address

408 S. Beach Blvd.
#203
Anaheim, CA 92804
Phone (714) 527-9111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091030000458 CA Part B Supplier - Clinic/Group Practice 2264579846 Receives reassigned benefits from 1 practitioner
Practice locations: Anaheim, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309219200000",
    "number": "1447586920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 S. BEACH BLVD.",
            "address_2": "#203",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92804",
            "telephone_number": "714-527-9111",
            "fax_number": "714-527-7426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 S. BEACH BLVD",
            "address_2": "#203",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928041877",
            "telephone_number": "714-527-9111",
            "fax_number": "714-527-7426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHING G. LEE M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-19",
        "last_updated": "2011-06-28",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHING",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-527-9111",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G61762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.