Individual provider Active NPI

Annie Somi Lee

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1740837384
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC34571 Issued in CA
Practice address
1458 S San Pedro St # L19
Los Angeles, CA 90015-3144
Phone
(213) 536-5349
Fax
(213) 289-2631
NPI assigned
Aug 19, 2019
Last updated
Mar 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC34571 CA Primary

Addresses

Primary practice location

1458 S San Pedro St # L19
Los Angeles, CA 90015-3144

Mailing address

1458 S San Pedro St # L19
Los Angeles, CA 90015-3144
Phone (213) 536-5349

Other practice location 1

11525 Brookshire Ave Ste 202
Downey, CA 90241-4983
Phone (562) 242-2070

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

LicenseStateTypeSpecialty
DC34571CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1740837384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1458 S SAN PEDRO ST # L19",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153144",
            "telephone_number": "213-536-5349",
            "fax_number": "213-289-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1458 S SAN PEDRO ST # L19",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153144",
            "telephone_number": "213-536-5349",
            "fax_number": "213-289-2631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11525 Brookshire Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Downey",
            "state": "CA",
            "postal_code": "902414983",
            "country_code": "US",
            "telephone_number": "562-242-2070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "ANNIE",
        "middle_name": "SOMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC34571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.