Chan Lee Professional Corporation

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A89666 Issued in CA

Legal business name

CHAN LEE PROFESSIONAL CORPORATION

Doing business as

Chan Lee Weight Loss and Wellness Center

Practice address

7055 N. Chestnut Ave.
Suite #104
Fresno, CA 93720

Phone

(559) 435-5362

Fax

(559) 435-3784

NPI assigned

Nov 23, 2009

Organization subpart

Yes

Parent organization

CHAN LEE PROFESSIONAL CORPORATIONAs reported in NPPES

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

Authorized official

Name

Chan Woo Lee, M.D.

Title

President

Phone

(562) 299-7327

Specialties & licenses 1

Addresses

Other names 1

• Chan Lee Weight Loss and Wellness Center Doing business as

Part of

Chan Lee Professional Corporation

Locations

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

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1457689879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7055 N. CHESTNUT AVE.",
            "address_2": "SUITE #104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93720",
            "telephone_number": "559-435-5362",
            "fax_number": "559-435-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7055 N. CHESTNUT AVE.",
            "address_2": "SUITE #104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93720",
            "telephone_number": "559-435-5362",
            "fax_number": "559-435-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAN LEE PROFESSIONAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHAN LEE PROFESSIONAL CORPORATION",
        "enumeration_date": "2009-11-23",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHAN",
        "authorized_official_middle_name": "WOO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-299-7327",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A89666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chan Lee Weight Loss and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Judy L. Champaign, M.D.
• Jaden Elijah Champion
• Karalyn Rebecca Champion, FNP
• Nathan Samuel Champion
• Patricia Champlin
• Ada Wai Chan, M.D.
• Chun-Wai Chan, MD
• Ellie Eiei Chan, M.D.
• Gary Chan, M.D.
• Geny-Ana R. Chan, DDS

• General Practice Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; 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.