Active NPI
Caroline Mann Ying Lee, SPEECH PATHOLOGIST
- Speech-Language Pathologist
- Los Angeles, CA
National Provider Identifier
1598934259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP14345
- Practice address
- 760 Westwood Plaza
Los Angeles, CA 90095-8353 - Phone
- (310) 829-9989
- NPI assigned
- Feb 27, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP14345 | CA | Primary |
Addresses
Primary practice location
760 Westwood Plaza
Los Angeles, CA 90095-8353
Mailing address
5767 West Century Blvd
Suite 200
Los Angeles, CA 90045-5655
Phone (310) 301-8708
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP14345 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP14345 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232496000000",
"number": "1598934259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 WEST CENTURY BLVD",
"address_2": "SUITE 200",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455655",
"telephone_number": "310-301-8708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 WESTWOOD PLAZA",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900958353",
"telephone_number": "310-829-9989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "CAROLINE",
"middle_name": "MANN YING",
"credential": "SPEECH PATHOLOGIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-27",
"last_updated": "2009-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP14345",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SP14345",
"state": "CA"
}
],
"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 Jan 21, 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.