Active NPI
David Hyun Lee, D.C.
- Chiropractor
- Glendale, CA
National Provider Identifier
1619116530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 33602
- Practice address
- 3510 1/2 Ocean View Blvd
Glendale, CA 91208-1285 - Phone
- (818) 839-1336
- NPI assigned
- Feb 17, 2009
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH60072117 | WA | |
| Chiropractor | 111N00000X | 33602 | CA | Primary |
Addresses
Primary practice location
3510 1/2 Ocean View Blvd
Glendale, CA 91208-1285
Mailing address
3510 1/2 Ocean View Blvd
Glendale, CA 91208-1285
Phone (818) 839-1336
Other practice location 1
2310 Artesia Blvd
Redondo Beach, CA 90278-3114
Phone (310) 372-2063
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 |
|---|---|---|---|
| CH60072117 | WA | MD | Chiropractor |
| 33602 | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D. H. Lee Chiropractic Inc | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Glendale, CA
- NPI 1447788617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1619116530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3510 1/2 OCEAN VIEW BLVD",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912081285",
"telephone_number": "818-839-1336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3510 1/2 OCEAN VIEW BLVD",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912081285",
"telephone_number": "818-839-1336"
}
],
"practiceLocations": [
{
"address_1": "2310 Artesia Blvd",
"address_purpose": "LOCATION",
"city": "Redondo Beach",
"state": "CA",
"postal_code": "902783114",
"country_code": "US",
"telephone_number": "310-372-2063",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "DAVID",
"middle_name": "HYUN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-02-17",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH60072117",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "33602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.