Edwin R Lee MD Inc

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

G58886 Issued in CA

Legal business name

EDWIN R LEE MD INC

Practice address

5 Holland Ste 101
Irvine, CA 92618-2568

Phone

(949) 588-2190

Fax

(949) 588-2199

NPI assigned

Dec 1, 2009

Last updated

Dec 1, 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

Edwin R Lee, MD

Title

President

Phone

(949) 588-2190

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1259625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259625600000",
    "number": "1528396660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 HOSPITAL RD STE 124",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633521",
            "telephone_number": "949-631-5024",
            "fax_number": "949-588-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HOLLAND STE 101",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182568",
            "telephone_number": "949-588-2190",
            "fax_number": "949-588-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWIN R LEE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-01",
        "last_updated": "2009-12-01",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-588-2190",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G58886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710996160",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; 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.