Chang Lee MD Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A99010 Issued in CA

Legal business name

CHANG LEE MD INC

Practice address

399 E Highland Ave Ste 223
San Bernardino, CA 92404-3864

Phone

(909) 475-5200

Fax

(909) 247-3219

NPI assigned

Aug 11, 2008

Last updated

Oct 23, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chang Li Lee, MDNPI 1811197536

Title

Chief Executive Officer

Phone

(909) 475-5200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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.

• Chang Li Lee, M.D.

  • Obstetrics & Gynecology Physician
  • San Bernardino, CA
  • NPI 1811197536
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1720234701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 E HIGHLAND AVE STE 223",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043864",
            "telephone_number": "909-475-5200",
            "fax_number": "909-247-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 E HIGHLAND AVE STE 223",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043864",
            "telephone_number": "909-475-5200",
            "fax_number": "909-247-3219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANG LEE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-11",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHANG",
        "authorized_official_middle_name": "LI",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "909-475-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A99010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris Hung Wai Chan, PHARM.D.
• Hannah Chan, MD
• Jerry Chan
• Ian Phillip Chand, PH.D.
• Kwyla Chaney
• Gabriel Chang
• Henry K. Chang
• Hoon Young Chang, DDS
• Janet Chang
• Jocelyn Joy Chang, MD

• Obstetrics & Gynecology Physician in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.