Active NPI
Yoon Min Lee
- Specialist
- Carmichael, CA
National Provider Identifier
1720125677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- OT 6661
- Practice address
- 5740 Windmill Way
15
Carmichael, CA 95608-1379 - Phone
- (916) 482-7698
- Fax
- (916) 482-7798
- NPI assigned
- Jan 31, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | OT 6661 | CA | Primary |
Addresses
Primary practice location
5740 Windmill Way
15
Carmichael, CA 95608-1379
Mailing address
5842 Laguna Park Dr
Elk Grove, CA 95758-4855
Phone (916) 684-4373
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 6661 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720125677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5842 LAGUNA PARK DR",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957584855",
"telephone_number": "916-684-4373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5740 WINDMILL WAY",
"address_2": "15",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956081379",
"telephone_number": "916-482-7698",
"fax_number": "916-482-7798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "YOON MIN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "OT 6661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmichael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.