Active NPI
Faye Lee M D a Medical Corporation
- Cardiovascular Disease Physician
- Los Angeles, CA
National Provider Identifier
1477637676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- G39905
- Legal business name
- FAYE LEE M D A MEDICAL CORPORATION
- Practice address
- 1245 Wilshire Blvd
812
Los Angeles, CA 90017-4810 - Phone
- (213) 481-2222
- Fax
- (213) 481-2416
- NPI assigned
- Oct 24, 2006
- 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
- Dr. Faye Lee, M.D.
- Title
- President
- Phone
- (213) 481-2222
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | G39905 | CA | Primary |
Addresses
Primary practice location
1245 Wilshire Blvd
812
Los Angeles, CA 90017-4810
Mailing address
1245 Wilshire Blvd
812
Los Angeles, CA 90017-4810
Phone (213) 481-2222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G399050 | Medicaid | CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Cardiovascular Disease Physician
- Los Angeles, CA
- NPI 1710075270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1467158400000",
"number": "1477637676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1245 WILSHIRE BLVD",
"address_2": "812",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900174810",
"telephone_number": "213-481-2222",
"fax_number": "213-481-2416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 WILSHIRE BLVD",
"address_2": "812",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900174810",
"telephone_number": "213-481-2222",
"fax_number": "213-481-2416"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAYE LEE M D A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-24",
"last_updated": "2016-06-29",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "FAYE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "213-481-2222",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "G39905",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G399050",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.