Active NPI
Seo Lee
- Physical Therapist
- El Segundo, CA
National Provider Identifier
1679255905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 304497
- Practice address
- 390 N Pacific Coast Hwy
El Segundo, CA 90245-4475 - Phone
- (213) 215-6046
- NPI assigned
- Aug 4, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 304497 | CA | Primary |
Addresses
Primary practice location
390 N Pacific Coast Hwy
El Segundo, CA 90245-4475
Mailing address
22131 Normandie Ave
Torrance, CA 90501-4042
Phone (213) 215-6046
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 304497 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691107200000",
"number": "1679255905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22131 NORMANDIE AVE",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905014042",
"telephone_number": "213-215-6046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 N PACIFIC COAST HWY",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902454475",
"telephone_number": "213-215-6046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SEO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-04",
"last_updated": "2023-08-04",
"certification_date": "2023-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "304497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Segundo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.