Active NPI
Allen H Lee, MD
- Psychiatry Physician
- La Jolla, CA
National Provider Identifier
1508949652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A92801
- Practice address
- 3262 Holiday Court
Suite 200
La Jolla, CA 92037 - Phone
- (858) 677-0727
- Fax
- (858) 481-8862
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD00045298 | WA | |
| Psychiatry Physician | 2084P0800X | A92801 | CA | Primary |
Addresses
Primary practice location
3262 Holiday Court
Suite 200
La Jolla, CA 92037
Mailing address
4203 Genesee Avenue
#103-306
San Diego, CA 92117
Phone (858) 677-0727
Other practice location 1
3262 Holiday Ct
#200
La Jolla, CA 92037
Phone (858) 677-0727
Other practice location 2
3262 Holiday Ct Ste 200
LA Jolla, CA 92037-1811
Phone (858) 677-0727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00045298 | WA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1508949652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4203 GENESEE AVENUE",
"address_2": "#103-306",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92117",
"telephone_number": "858-677-0727",
"fax_number": "858-481-8862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3262 HOLIDAY COURT",
"address_2": "SUITE 200",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "92037",
"telephone_number": "858-677-0727",
"fax_number": "858-481-8862"
}
],
"practiceLocations": [
{
"address_1": "3262 Holiday Ct",
"address_2": "#200",
"address_purpose": "LOCATION",
"city": "La Jolla",
"state": "CA",
"postal_code": "92037",
"country_code": "US",
"telephone_number": "858-677-0727",
"fax_number": "858-558-8610",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3262 Holiday Ct Ste 200",
"address_purpose": "LOCATION",
"city": "LA Jolla",
"state": "CA",
"postal_code": "920371811",
"country_code": "US",
"telephone_number": "858-677-0727",
"fax_number": "858-481-8862",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "ALLEN",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "MD00045298",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A92801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.