Organization Active NPI

Kyung R. Lee, MD & Kesook Lee, MD

  • Pediatrics Physician
  • San Francisco, CA
National Provider Identifier
1477647675
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
KYUNG R. LEE, MD & KESOOK LEE, MD
Practice address
2555 Ocean Ave Ste 204
San Francisco, CA 94132-1645
Phone
(415) 406-1333
Fax
(415) 406-1337
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kesook K Lee, M.D.NPI 1255425773
Title
Secretary
Phone
(415) 406-1333

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
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

2555 Ocean Ave Ste 204
San Francisco, CA 94132-1645

Mailing address

2555 Ocean Ave Ste 204
San Francisco, CA 94132-1645
Phone (415) 406-1333

National Provider Directory

National Provider Directory

Locations

2555 Ocean Ave
Ste 204
San Francisco, CA 94132
Phone (415) 337-9009

Practitioners & affiliated clinicians

Practitioners 2

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477647675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 OCEAN AVE STE 204",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321645",
            "telephone_number": "415-406-1333",
            "fax_number": "415-406-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 OCEAN AVE STE 204",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321645",
            "telephone_number": "415-406-1333",
            "fax_number": "415-406-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYUNG R. LEE, MD & KESOOK LEE, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KESOOK",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "415-406-1333",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.