Active NPI
Paul Choong Hwan Lee, MD a Medical Corporation
- Ophthalmology Physician
- Garden Grove, CA
National Provider Identifier
1457532350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- A75260
- Legal business name
- PAUL CHOONG HWAN LEE, MD A MEDICAL CORPORATION
- Practice address
- 9894 Garden Grove Blvd
Garden Grove, CA 92844-1643 - Phone
- (714) 539-3232
- Fax
- (714) 539-3555
- NPI assigned
- Nov 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Choong Hwan Lee, MD
- Title
- President
- Phone
- (714) 539-3232
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | A75260 | CA | Primary |
Addresses
Primary practice location
9894 Garden Grove Blvd
Garden Grove, CA 92844-1643
Mailing address
9894 Garden Grove Blvd
Garden Grove, CA 92844-1643
Phone (714) 539-3232
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090721000382 | CA | Part B Supplier - Clinic/Group Practice | 0244382315 |
Receives reassigned benefits from 1 practitioner 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Fullerton, CA |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Ophthalmology Physician
- Fullerton, CA
- NPI 1407096332
O20090721000382
-
- Ophthalmology Physician
- Fullerton, CA
- NPI 1497011290
O20090721000382
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1246320000000",
"number": "1457532350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9894 GARDEN GROVE BLVD",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928441643",
"telephone_number": "714-539-3232",
"fax_number": "714-539-3555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9894 GARDEN GROVE BLVD",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928441643",
"telephone_number": "714-539-3232",
"fax_number": "714-539-3555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAUL CHOONG HWAN LEE, MD A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-19",
"last_updated": "2009-06-30",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "CHOONG HWAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-539-3232",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "CA",
"license": "A75260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.