Individual provider Active NPI

Nakju Lee, MFT REGISTERED INTER

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1659776334
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMF73374 Issued in CA
Practice address
3727 W 6TH St Ste 507
Los Angeles, CA 90020-5110
Phone
(949) 228-4635
Fax
(213) 529-4224
NPI assigned
Oct 24, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF73374 CA Primary

Addresses

Primary practice location

3727 W 6TH St Ste 507
Los Angeles, CA 90020-5110

Mailing address

3727 W 6TH St Ste 507
Los Angeles, CA 90020-5110
Phone (949) 228-4635

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240201003990 CA Practitioner - Marriage and Family Therapist 3577916881 Practice locations: Irvine, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8 Corporate Park
Suite 300
Irvine, CA 92606-5196
Phone (949) 228-4635

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMF73374CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414108800000",
    "number": "1659776334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3727 W 6TH ST STE 507",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900205110",
            "telephone_number": "949-228-4635",
            "fax_number": "213-529-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3727 W 6TH ST STE 507",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900205110",
            "telephone_number": "949-228-4635",
            "fax_number": "213-529-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "NAKJU",
        "name_prefix": "Dr.",
        "credential": "MFT REGISTERED INTER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF73374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.