Active NPI
Mark Lee M.D., Inc.
- Specialist
- Whittier, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A68664
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Nephrology Physician
- Whittier, CA
- NPI 1558322479
-
- Nephrology Physician
- Pomona, CA
- NPI 1578879755
-
- Family Nurse Practitioner
- Long Beach, CA
- NPI 1912211178
-
- Nephrology Physician
- Montebello, CA
- NPI 1851598866
-
- Nephrology Physician
- Montebello, CA
- NPI 1629363106
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.