Organization Active NPI

Sujin Lee

  • Physical Medicine & Rehabilitation Physician
  • Long Beach, CA
National Provider Identifier
1558866699
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
SUJIN LEE
Practice address
2840 Long Beach Blvd Ste 465
Long Beach, CA 90806-1594
Phone
(562) 595-0790
Fax
(562) 595-0839
NPI assigned
Mar 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Authorized official

Name
Sujin Lee, MD
Title
Owner
Phone
(949) 525-7621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

2840 Long Beach Blvd Ste 465
Long Beach, CA 90806-1594

Mailing address

2840 Long Beach Blvd Ste 465
Long Beach, CA 90806-1594
Phone (562) 595-0790

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1558866699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 LONG BEACH BLVD STE 465",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061594",
            "telephone_number": "562-595-0790",
            "fax_number": "562-595-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 LONG BEACH BLVD STE 465",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061594",
            "telephone_number": "562-595-0790",
            "fax_number": "562-595-0839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUJIN LEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-29",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SUJIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-525-7621",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.