Organization Active NPI

Salvacion M Lee MD Inc

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1548579766
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SALVACION M LEE MD INC
Practice address
658 S Bonnie Brae St FL 2
Los Angeles, CA 90057-3710
Phone
(213) 483-2215
NPI assigned
Oct 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Authorized official

Name
Salvacion M Lee
Title
President
Phone
(818) 761-4217

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

658 S Bonnie Brae St FL 2
Los Angeles, CA 90057-3710

Mailing address

658 S Bonnie Brae St FL 2
Los Angeles, CA 90057-3710

National Provider Directory

National Provider Directory

Locations

658 S Bonnie Brae St
#2
Los Angeles, CA 90057
Phone (213) 483-2215

NPI Registry JSON

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1548579766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 S BONNIE BRAE ST FL 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 S BONNIE BRAE ST FL 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573710",
            "telephone_number": "213-483-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALVACION M LEE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SALVACION",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-761-4217"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.