NPIMap

Organization Active NPI

Lee Orthopedic Institute, a Professional Medical Corporation

  • Orthopaedic Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1619197282
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G86203 Issued in CA
Legal business name
LEE ORTHOPEDIC INSTITUTE, A PROFESSIONAL MEDICAL CORPORATION
Practice address
1035 S. Vermont Ave.
Los Angeles, CA 90006
Phone
(213) 387-0102
Fax
(213) 738-8764
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Authorized official

Name
Dr. Christophe S Lee, M.D.NPI 1710081187
Title
President
Phone
(213) 387-0102

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X G86203 CA Primary
Orthopaedic Hand Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XS0106X G86203 CA
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XX0005X A67707 CA
Physical Therapy Clinic/Center 261QP2000X
Durable Medical Equipment & Medical Supplies 332B00000X G86203 CA
Durable Medical Equipment & Medical Supplies 332B00000X A67707 CA

Addresses

Primary practice location

1035 S. Vermont Ave.
Los Angeles, CA 90006

Mailing address

1035 S. Vermont Ave.
Los Angeles, CA 90006
Phone (213) 387-0102

Other practice location 1

1510 S Central Ave Ste 435
Glendale, CA 91204-2500
Phone (818) 550-9910

Other practice location 2

1037 E Palmdale Blvd Ste 102
Palmdale, CA 93550-4745
Phone (661) 456-3177

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110923000423 CA Part B Supplier - Clinic/Group Practice 4183782907 Receives reassigned benefits from 4 practitioners
Practice locations: Glendale, CA; Los Angeles, CA; Palmdale, CA

National Provider Directory

National Provider Directory

Locations

1510 S Central Ave
Ste 435
Glendale, CA 91204
Phone (818) 550-9910

1037 E Palmdale Blvd
Ste 102
Palmdale, CA 93550
Phone (661) 456-3177

Practitioners & affiliated clinicians

Practitioners 6

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": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1619197282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 S. VERMONT AVE.",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90006",
            "telephone_number": "213-387-0102",
            "fax_number": "213-738-8764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 S. VERMONT AVE.",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90006",
            "telephone_number": "213-387-0102",
            "fax_number": "213-738-8764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1510 S Central Ave Ste 435",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912042500",
            "country_code": "US",
            "telephone_number": "818-550-9910",
            "fax_number": "818-550-9901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1037 E Palmdale Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Palmdale",
            "state": "CA",
            "postal_code": "935504745",
            "country_code": "US",
            "telephone_number": "661-456-3177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEE ORTHOPEDIC INSTITUTE, A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHRISTOPHE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-387-0102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G86203",
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CA",
            "license": "G86203",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A67707",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "G86203",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "A67707",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 11, 2021; 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.