Jenny Inchin Lee, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

A110984 Issued in CA

Practice address

1313 Laurel St Ste 106
San Carlos, CA 94070-5013

Phone

(650) 591-2678

Fax

(650) 591-7452

NPI assigned

Jun 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Nephrology

Education

R Franklin University of Med & Sci/Chicago Medical School, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1629274238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 LAUREL ST STE 106",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940705013",
            "telephone_number": "650-591-2678",
            "fax_number": "650-591-7452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 LAUREL ST STE 106",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940705013",
            "telephone_number": "650-591-2678",
            "fax_number": "650-591-7452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JENNY",
        "middle_name": "INCHIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036.118756",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A110984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurel Endodontics
• Kim Van Le, MD
• Amy Lee
• Carol Downie Lee, M.F.T.
• Caroline Sun Lee, MA, CCC-SLP
• Joshua Jimmy Lee, PT, DPT, ATC
• Michelle Karen Lee, CPNP
• Richard Kiheun Lee
• Blanka Leeker, MA
• Pamela Leffler, MS, CCC-SLP

• Nephrology Physician in San Carlos, CA
• Providers in San Carlos, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.