Rene W Lee, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

20A11451 Issued in CA

Practice address

8235 Rochester Ave
Suite 110-120
Rancho Cucamonga, CA 91730-0718

Phone

(909) 484-4900

Fax

(909) 243-7868

NPI assigned

Mar 27, 2009

Last updated

Aug 31, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rene Lee Medical Inc

  dba Cucamonga Pediatrics

  • Pediatrics Physician
  • Rancho Cucamonga, CA
  • NPI 1316657836
  NPD
• Cong T. Phan M.D., Inc.

  • Internal Medicine Physician
  • Rancho Cucamonga, CA
  • NPI 1114354396
  NPD (past)
• San Antonio Regional Hospital

  • General Acute Care Hospital
  • Upland, CA
  • NPI 1780681189
  NPD (past)
• Viet D. Ta, MD & Tiffany L. Quan, MD Medical Associates Inc.

  dba Foothill Primary Care

  • Family Medicine Physician
  • Rancho Cucamonga, CA
  • NPI 1497760987

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346371200000",
    "number": "1467694000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8235 ROCHESTER AVE",
            "address_2": "SUITE 110-120",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300718",
            "telephone_number": "909-484-4900",
            "fax_number": "909-243-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8235 ROCHESTER AVE",
            "address_2": "SUITE 110-120",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300718",
            "telephone_number": "909-484-4900",
            "fax_number": "909-243-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "RENE",
        "middle_name": "W",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-27",
        "last_updated": "2012-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "20A11451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Hyun Jin Lee, PHARM.D.
• Jonathan Gene Lee, FNP-BC
• Joseph Lee, DDS
• Jung Yeol Lee, DMD
• Linda Lee, M.D.
• Ruth Sam En Lee
• Seong Wook Lee, D.M.D
• Tabitha Lee
• Timothy Tien-Min Lee, MD
• Woo Jin Lee, L.AC, DIPL. O.M.

• Pediatrics Physician in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; 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.