Active NPI
Kevin Keunwoong Lee, M.D.
- Orthopaedic Surgery Physician
- Rancho Mirage, CA
National Provider Identifier
1770696429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- A40899
- Practice address
- 39000 Bob Hope Dr
Harry & Diane Rinker Building
Rancho Mirage, CA 92270-3221 - Phone
- (760) 568-2684
- Fax
- (760) 837-2258
- NPI assigned
- Aug 16, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | A40899 | CA | Primary |
Addresses
Primary practice location
39000 Bob Hope Dr
Harry & Diane Rinker Building
Rancho Mirage, CA 92270-3221
Mailing address
PO Box 1810
Rancho Mirage, CA 92270-1059
Phone (760) 568-2684
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A40899 | CA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hospitals Medical Group Inc | Orthopaedic Surgery | Past | Accepting new patients |
| University Primary Care Practices Inc | Orthopaedic Surgery | Past | Accepting new patients |
Organizations & group practices 2
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.
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Orthopaedic Surgery
-
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- Oberlin, OH
- NPI 1982727087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210723200000",
"number": "1770696429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1810",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922701059",
"telephone_number": "760-568-2684",
"fax_number": "760-837-2258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39000 BOB HOPE DR",
"address_2": "HARRY & DIANE RINKER BUILDING",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922703221",
"telephone_number": "760-568-2684",
"fax_number": "760-837-2258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "KEVIN",
"middle_name": "KEUNWOONG",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2008-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "A40899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Mirage, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.