Organization Active NPI

Mark Lee M.D., Inc.

  • Specialist
  • Whittier, CA
National Provider Identifier
1568587236
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A68664 Issued in CA
Legal business name
MARK LEE M.D., INC.
Practice address
11147 Washington Blvd.
Whittier, CA 90606-3007
Phone
(562) 695-6988
Fax
(562) 692-2093
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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

Authorized official

Name
Dr. Mark Chun-Liang Lee, M.D.NPI 1558322479
Title
Ceo
Phone
(562) 695-6988

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X A68664 CA Primary

Addresses

Primary practice location

11147 Washington Blvd.
Whittier, CA 90606-3007

Mailing address

PO Box 6265
Whittier, CA 90609-6265
Phone (562) 695-6988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070614000740 CA Part B Supplier - Clinic/Group Practice 5294833281 Receives reassigned benefits from 2 practitioners
Practice locations: Whittier, CA; Paramount, CA; Montebello, CA; Lynwood, CA; Los Angeles, CA; La Mirada, CA; Bellflower, CA; Downey, CA…

National Provider Directory

National Provider Directory

Locations

8630 Florence Ave
Downey, CA 90240
Phone (562) 923-6741

2020 S Hacienda Blvd
Ste 6J
Hacienda Heights, CA 91745
Phone (626) 698-9558

10055 Whittwood Dr
Whittier, CA 90603
Phone (562) 947-1808

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1568587236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6265",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906096265",
            "telephone_number": "562-695-6988",
            "fax_number": "562-692-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11147 WASHINGTON BLVD.",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906063007",
            "telephone_number": "562-695-6988",
            "fax_number": "562-692-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK LEE M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "CHUN-LIANG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-695-6988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A68664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.