Organization Active NPI

Lee MD, Inc

  • Dermatology Physician
  • Corona del Mar, CA
National Provider Identifier
1679971535
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A121821 Issued in CA
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

Updated by the provider on Dec 9, 2014

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

Authorized official

Name
Dr. Catherine H Lee, MDNPI 1992821797
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)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2106611Newport Dermatology Institute2121 E Coast Hwy Ste 110, Corona del Mar, CA 92625ComplianceJul 31, 2026

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.