Organization Active NPI

Michael K. Lee, M.D., Inc.

  • Plastic Surgery Physician
  • Mission Viejo, CA
National Provider Identifier
1619320454
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A123756 Issued in CA
Legal business name
MICHAEL K. LEE, M.D., INC.
Practice address
26732 Crown Valley Pkwy
Suite 585
Mission Viejo, CA 92691-6306
Phone
(949) 364-1010
NPI assigned
Jul 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Authorized official

Name
Michael LeeNPI 1427302256
Title
Owner
Phone
(949) 329-8282

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)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X A123756 CA Primary

Addresses

Primary practice location

26732 Crown Valley Pkwy
Suite 585
Mission Viejo, CA 92691-6306

Mailing address

4790 Irvine Blvd
Ste 105-343
Irvine, CA 92620-1973
Phone (949) 329-8282

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161221000725 CA Part B Supplier - Clinic/Group Practice 2769763275 Receives reassigned benefits from 2 practitioners
Practice locations: Mission Viejo, CA

National Provider Directory

National Provider Directory

Locations

4790 Irvine Blvd
Ste 105343
Irvine, CA 92620

Practitioners & affiliated clinicians

Practitioners 2

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": "1468713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1619320454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4790 IRVINE BLVD",
            "address_2": "STE 105-343",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926201973",
            "telephone_number": "949-329-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26732 CROWN VALLEY PKWY",
            "address_2": "SUITE 585",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916306",
            "telephone_number": "949-364-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL K. LEE, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-17",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-329-8282"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A123756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; 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.