NPIMap

Organization Active NPI

Stephen B. Lee Medical Corporation at Coachella

Doing business as Clinica Medica Del Valle, Inc.

  • Family Medicine Physician
  • Coachella, CA
National Provider Identifier
1700026549
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
STEPHEN B. LEE MEDICAL CORPORATION AT COACHELLA
Doing business as
Clinica Medica Del Valle, Inc.
Practice address
52565 Harrison St
Unit 104
Coachella, CA 92236-1534
Phone
(760) 398-0606
Fax
(760) 398-5507
NPI assigned
Mar 5, 2009
Last updated
Mar 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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

Authorized official

Name
Stephen B. Lee, M.D.
Title
President
Phone
(562) 865-5214

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Pediatrics Physician 208000000X NU

Addresses

Primary practice location

52565 Harrison St
Unit 104
Coachella, CA 92236-1534

Mailing address

52565 Harrison St
Unit 104
Coachella, CA 92236-1534
Phone (760) 398-0606

Other names 1

  • Clinica Medica Del Valle, Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

52565 Harrison St
Ste 104
Coachella, CA 92236
Phone (760) 398-0606

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1700026549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52565 HARRISON ST",
            "address_2": "UNIT 104",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "922361534",
            "telephone_number": "760-398-0606",
            "fax_number": "760-398-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52565 HARRISON ST",
            "address_2": "UNIT 104",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "922361534",
            "telephone_number": "760-398-0606",
            "fax_number": "760-398-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN B. LEE MEDICAL CORPORATION AT COACHELLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-05",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-865-5214",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica Medica Del Valle, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coachella, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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.