Brian M Lee MD Inc

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

A86438 Issued in CA

Legal business name

BRIAN M LEE MD INC

Practice address

3625 Martin Luther King Blvd
Suite #5
Lynwood, CA 90262

Phone

(310) 763-7504

Fax

(310) 763-7573

NPI assigned

Jun 6, 2008

Last updated

Sep 16, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian LeeNPI 1558457556

Title

Physician

Phone

(310) 763-7504

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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.

• Brian M Lee, MD

  • Nephrology Physician
  • Lynwood, CA
  • NPI 1558457556
  Medicare reassignment NPD Authorized official
• Stephen Lui, M.D.

  • Nephrology Physician
  • Lynwood, CA
  • NPI 1891770384
  NPD (past)

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253059200000",
    "number": "1518126259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 MARTIN LUTHER KING BLVD",
            "address_2": "SUITE #5",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "90262",
            "telephone_number": "310-763-7504",
            "fax_number": "310-763-7573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 MARTIN LUTHER KING BLVD",
            "address_2": "SUITE #5",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "90262",
            "telephone_number": "310-763-7504",
            "fax_number": "310-763-7573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN M LEE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2009-09-16",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "310-763-7504",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A86438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518126259",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William L Boykins
• Nicole Bradley-Bibbs
• Jonathan L Brand, MD
• Brandon Byrum LLC
• Kristine Ann Brazas, LVN
• Rigoverto Cabrera Briceno, PH.D.
• Jazmine Briones
• Lisa A Brockman, DO
• Thomas Brodie, M.D
• Herman David Brooks, M.D.

• Nephrology Physician in Lynwood, CA
• Providers in Lynwood, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.

Verify at the official NPI Registry.