Active NPI
June Joo-Eun Lee, D.O.
- Family Medicine Physician
- Torrance, CA
National Provider Identifier
1699089268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A13639
- Practice address
- 21311 Madrona Ave
Suite 100-a
Torrance, CA 90503-5970 - Phone
- (310) 792-4400
- NPI assigned
- Aug 5, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 274346-134 | NY | |
| Family Medicine Physician | 207Q00000X | 20A13639 | CA | Primary |
Addresses
Primary practice location
21311 Madrona Ave
Suite 100-a
Torrance, CA 90503-5970
Mailing address
21311 Madrona Ave
Suite 100-a
Torrance, CA 90503-5970
Phone (310) 792-4400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A13639 | CA | MD | Family Medicine Physician |
| 274346-134 | NY | MD | Family Medicine Physician |
| 13639 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Institute | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Torrance, CA
- NPI 1417915760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426204800000",
"number": "1699089268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21311 MADRONA AVE",
"address_2": "SUITE 100-A",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905035970",
"telephone_number": "310-792-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21311 MADRONA AVE",
"address_2": "SUITE 100-A",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905035970",
"telephone_number": "310-792-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JUNE",
"middle_name": "JOO-EUN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-05",
"last_updated": "2015-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "274346-134",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A13639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.