Charles K. Lee, MD, Inc.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

A82918 Issued in CA

Legal business name

CHARLES K. LEE, MD, INC.

Practice address

1545 Pine St.
Unit 101
San Francisco, CA 94109-1078

Phone

(415) 933-8330

Fax

(415) 933-8292

NPI assigned

Dec 20, 2007

Last updated

Aug 24, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles K. Lee, MDNPI 1487635298

Title

President/Attending Surgeon

Phone

(415) 933-8330

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3859/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Kyung Chul Lee, MD

  • Plastic and Reconstructive Surgery Physician
  • San Francisco, CA
  • NPI 1487635298
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1689858094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 PINE ST",
            "address_2": "UNIT 101",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094682",
            "telephone_number": "415-933-8330",
            "fax_number": "415-933-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 PINE ST.",
            "address_2": "UNIT 101",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941091078",
            "telephone_number": "415-933-8330",
            "fax_number": "415-933-8292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES K. LEE, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT/ATTENDING SURGEON",
        "authorized_official_telephone_number": "415-933-8330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A82918",
            "primary": true
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "CA",
            "license": "A82918",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Elizabeth Chard
• Holly Chargin
• Anusha Suman Chari, D.O.
• Charles C. Nip, D.D.S., Inc (South Van Ness Dental Group)
• Charles C. Nip, DDS Inc
• Charles K. Morris, MD, Facc, Inc
• Eunice Charles, RN
• Lorene Irene Charles, AMFT
• Merl Arthur Charles, MD PHD
• Ricardo Charles, CRNA

• Plastic Surgery Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.