Organization Active NPI

Johnson C. Lee MD, PC

  • Plastic and Reconstructive Surgery Physician
  • Beverly Hills, CA
National Provider Identifier
1689027310
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
A138353 Issued in CA
Legal business name
JOHNSON C. LEE MD, PC
Practice address
435 N Roxbury Dr Ste 315
Beverly Hills, CA 90210-5005
Phone
(310) 550-2200
NPI assigned
Jul 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Authorized official

Name
Dr. Johnson Lee, M.D.
Title
Owner
Phone
(626) 232-4075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X A138353 CA Primary

Addresses

Primary practice location

435 N Roxbury Dr Ste 315
Beverly Hills, CA 90210-5005

Mailing address

435 N Roxbury Dr Ste 315
Beverly Hills, CA 90210-5005
Phone (310) 550-2200

National Provider Directory

National Provider Directory

Locations

435 N Roxbury Dr
Ste 315
Beverly Hills, CA 90210
Phone (310) 550-2200

NPI Registry JSON

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1689027310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 N ROXBURY DR STE 315",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105005",
            "telephone_number": "310-550-2200",
            "fax_number": "424-375-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 N ROXBURY DR STE 315",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105005",
            "telephone_number": "310-550-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON C. LEE MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-18",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOHNSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-232-4075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A138353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.