Organization Active NPI

Lily Lee MD Inc

  • Plastic and Reconstructive Surgery Physician
  • San Gabriel, CA
National Provider Identifier
1699038620
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
LILY LEE MD INC
Practice address
207 S Santa Anita Street Ste P25
San Gabriel, CA 91776-1145
Phone
(626) 676-2373
NPI assigned
Jun 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2012

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

Authorized official

Name
Dr. Lily Lee, MD
Title
Owner
Phone
(626) 676-2373

Specialties & licenses 1

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

Addresses

Primary practice location

207 S Santa Anita Street Ste P25
San Gabriel, CA 91776-1145

Mailing address

301 W Huntington Dr Ste 107
Arcadia, CA 91007-3400
Phone (626) 574-0020

National Provider Directory

National Provider Directory

Locations

71949 Highway 111
Ste 300
Rancho Mirage, CA 92270
Phone (626) 817-0818

NPI Registry JSON

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340582400000",
    "number": "1699038620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W HUNTINGTON DR STE 107",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910073400",
            "telephone_number": "626-574-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S SANTA ANITA STREET STE P25",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761145",
            "telephone_number": "626-676-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILY LEE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-25",
        "last_updated": "2012-06-25",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "LILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-676-2373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; 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.