Organization Active NPI

Yiu Fun Derek Lee MD Inc

  • Obstetrics & Gynecology Physician
  • Hacienda Heights, CA
National Provider Identifier
1659407476
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G81110 Issued in CA
Legal business name
YIU FUN DEREK LEE MD INC
Practice address
16388 Colima Rd Ste 203
Hacienda Heights, CA 91745-5525
Phone
(626) 369-1886
Fax
(626) 369-2557
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Derek Lee, M.D
Title
Dr
Phone
(626) 369-1886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X G81110 CA Primary

Addresses

Primary practice location

16388 Colima Rd Ste 203
Hacienda Heights, CA 91745-5525

Mailing address

16388 Colima Rd Ste 203
Hacienda Heights, CA 91745-5525
Phone (626) 369-1886

Other identifiers 1

IdentifierTypeStateIssuer
G81110OtherCALICENCE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070801000870 CA Part B Supplier - Clinic/Group Practice 6002907201 Receives reassigned benefits from 1 practitioner
Practice locations: Hacienda Heights, CA

National Provider Directory

National Provider Directory

Locations

2440 S Hacienda Blvd
Ste 116
Hacienda Heights, CA 91745
Phone (626) 369-1886

2440 S Hacienda Blvd
Hacienda Heights, CA 91745

244 S Hacienda Blvd
Hacienda Heights, CA 91745

16388 Colima Rd
Ste 203
Hacienda Heights, CA 91745
Phone (626) 369-1866

Practitioners & affiliated clinicians

Practitioners 1

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": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659407476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16388 COLIMA RD STE 203",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917455525",
            "telephone_number": "626-369-1886",
            "fax_number": "626-369-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16388 COLIMA RD STE 203",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917455525",
            "telephone_number": "626-369-1886",
            "fax_number": "626-369-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YIU FUN DEREK LEE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "626-369-1886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G81110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "G81110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hacienda Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.