Active NPI
Paul Choong Hwan Lee, M.D. a Medical Corporation
- Ophthalmology Physician
- Fullerton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- A75260
- Legal business name
- PAUL CHOONG HWAN LEE, M.D. A MEDICAL CORPORATION
- Practice address
- 1401 S. Brookhurst Rd.
Suite 107
Fullerton, CA 92833 - Phone
- (714) 539-3232
- Fax
- (714) 539-3555
- NPI assigned
- Apr 5, 2012
- Last updated
- Apr 5, 2012
- 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. Paul C Lee, M.D.
- Title
- President
- Phone
- (714) 539-3232
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | A75260 | CA | Primary |
Addresses
Primary practice location
1401 S. Brookhurst Rd.
Suite 107
Fullerton, CA 92833
Mailing address
9894 Garden Grove Blvd
Garden Grove, CA 92844
Phone (714) 539-3232
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
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
- Garden Grove, CA
- NPI 1457532350
O20090721000382
National Provider Directory
National Provider DirectoryLocations
1401 S Brookhurst Rd
Ste 105
Fullerton, CA 92833
Phone (714) 448-0708
1401 S Brookhurst Rd
Ste 107
Fullerton, CA 92833
Phone (714) 525-3232
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Ophthalmology Physician
- Garden Grove, CA
- NPI 1003838012
-
- Physical Therapist
- Fullerton, CA
- NPI 1669493094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1333584000000",
"number": "1497011290",
"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": "92844",
"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": "1401 S. BROOKHURST RD.",
"address_2": "SUITE 107",
"city": "FULLERTON",
"state": "CA",
"postal_code": "92833",
"telephone_number": "714-539-3232",
"fax_number": "714-539-3555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAUL CHOONG HWAN LEE, M.D. A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-05",
"last_updated": "2012-04-05",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-539-3232",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "A75260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.