Active NPI
Lily Lee MD Inc
- Plastic and Reconstructive Surgery Physician
- San Gabriel, CA
National Provider Identifier
1699038620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 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 DirectoryLocations
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.