Active NPI
Lee MD, Inc
- Dermatology Physician
- Corona del Mar, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- A121821
- Legal business name
- LEE MD, INC
- Practice address
- 2121 E Coast Hwy
Ste 110
Corona del Mar, CA 92625-1931 - Phone
- (410) 662-2606
- Fax
- (480) 656-7407
- NPI assigned
- Dec 9, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Catherine H Lee, MD
- Title
- President
- Phone
- (410) 662-2606
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | A121821 | CA | Primary |
Addresses
Primary practice location
2121 E Coast Hwy
Ste 110
Corona del Mar, CA 92625-1931
Mailing address
2121 E Coast Hwy
Ste 110
Corona del Mar, CA 92625-1931
Phone (410) 662-2606
Other names 1
- Newport Dermatology Institute
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2106611 | Newport Dermatology Institute | Compliance | Jul 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
2121 E Coast Hwy
Ste 110
Corona del Mar, CA 92625
Phone (410) 662-2606
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Corona del Mar, CA
- NPI 1992821797
-
- Dermatology Physician
- Corona del Mar, CA
- NPI 1205098696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1418083200000",
"number": "1679971535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 E COAST HWY",
"address_2": "STE 110",
"city": "CORONA DEL MAR",
"state": "CA",
"postal_code": "926251931",
"telephone_number": "410-662-2606",
"fax_number": "480-656-7407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 E COAST HWY",
"address_2": "STE 110",
"city": "CORONA DEL MAR",
"state": "CA",
"postal_code": "926251931",
"telephone_number": "410-662-2606",
"fax_number": "480-656-7407"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEE MD, INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-09",
"last_updated": "2014-12-09",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "CATHERINE",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "410-662-2606",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "CA",
"license": "A121821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Newport Dermatology Institute",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Corona del Mar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; 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.