Patrick K. Lee, M.D., Inc.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G74804 Issued in CA

Legal business name

PATRICK K. LEE, M.D., INC.

Practice address

13420 Newport Ave
Suite G
Tustin, CA 92780-3745

Phone

(714) 731-0061

Fax

(714) 731-0164

NPI assigned

Feb 22, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Patrick Kevin Lee, M.D.

Title

Owner

Phone

(714) 731-0061

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1619240637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13420 NEWPORT AVE",
            "address_2": "SUITE G",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803745",
            "telephone_number": "714-731-0061",
            "fax_number": "714-731-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13420 NEWPORT AVE",
            "address_2": "SUITE G",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803745",
            "telephone_number": "714-731-0061",
            "fax_number": "714-731-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK K. LEE, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-731-0061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G74804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priya B Patel, PA-C
• Priya Diptesh Patel, PT, DPT
• Sangeeta Hitesh Patel
• Sheila Patel, SLP
• Pathways Community Services LLC
• Patterson Nursing Enterprises, Inc
• Patricia A Patterson
• Rita Jean Patterson, RN CNOR CRNFA(E)
• Paul J Kim MD Inc
• Rebecca Lynn Paulson, PT, DPT

• Dermatology Physician in Tustin, CA
• Providers in Tustin, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.