Individual provider Active NPI

Julianne S Lee, D.C.. LAC

  • Chiropractor
  • Torrance, CA
National Provider Identifier
1710311543
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32505 Issued in CA
Practice address
23000 Crenshaw Blvd Ste 104
Torrance, CA 90505-3052
Phone
(310) 961-4189
Fax
(424) 202-5486
NPI assigned
Aug 28, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC15716 CA
Chiropractor 111N00000X 32505 CA Primary

Addresses

Primary practice location

23000 Crenshaw Blvd Ste 104
Torrance, CA 90505-3052

Mailing address

23000 Crenshaw Blvd Ste 104
Torrance, CA 90505-3052
Phone (310) 961-4189

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

State licenses

LicenseStateTypeSpecialty
32505CAMDChiropractor
AC15716CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Kim & Lee Chiropractic & Acupuncture Corporation Chiropractor CurrentSince Jul 2, 2023 Accepting new patients

Locations

3661 Torrance Blvd
Ste 201
Torrance, CA 90503
Phone (310) 381-0024

23000 Crenshaw Blvd
Ste 104
Torrance, CA 90505
Phone (310) 961-4189

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.

NPI Registry JSON

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1710311543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23000 CRENSHAW BLVD STE 104",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053052",
            "telephone_number": "310-961-4189",
            "fax_number": "424-202-5486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23000 CRENSHAW BLVD STE 104",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053052",
            "telephone_number": "310-961-4189",
            "fax_number": "424-202-5486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JULIANNE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.C.. LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC15716",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32505",
            "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 Jun 28, 2023; 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.