Individual provider Active NPI

Joseph Chang Lee, M.D.

  • Psychiatry Physician
  • Redondo Beach, CA
National Provider Identifier
1619929510
Registry record updated Jan 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A82424 Issued in CA
Practice address
1650 S Pacific Coast Hwy
Suite 302
Redondo Beach, CA 90277-5613
Phone
(310) 535-7015
Fax
(310) 540-7167
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A82424 CA Primary

Addresses

Primary practice location

1650 S Pacific Coast Hwy
Suite 302
Redondo Beach, CA 90277-5613

Mailing address

1650 S Pacific Coast Hwy
Suite 302
Redondo Beach, CA 90277-5613
Phone (310) 535-7015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 15, 2026 through Jan 15, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A82424CAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201219200000",
    "number": "1619929510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 S PACIFIC COAST HWY",
            "address_2": "SUITE 302",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775613",
            "telephone_number": "310-535-7015",
            "fax_number": "310-540-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 S PACIFIC COAST HWY",
            "address_2": "SUITE 302",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775613",
            "telephone_number": "310-535-7015",
            "fax_number": "310-540-7167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JOSEPH",
        "middle_name": "CHANG",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A82424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

Verify at the official NPI Registry.