Active NPI
Bum Soo Lee
- Psychiatric Hospital
- Anaheim, CA
National Provider Identifier
1780709253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- Legal business name
- BUM SOO LEE
- Practice address
- 1020 S Anaheim Blvd
Anaheim, CA 92805-5851 - Phone
- (714) 270-0684
- Fax
- (714) 999-6686
- NPI assigned
- Mar 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bum Soo Lee, M.D.
- Title
- Staff Psychiatrist
- Phone
- (714) 279-0684
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | Primary |
Addresses
Primary practice location
1020 S Anaheim Blvd
Anaheim, CA 92805-5851
Mailing address
179 S Peralta Hills Dr
Anaheim, CA 92807-3424
Phone (714) 974-7368
National Provider Directory
National Provider DirectoryLocations
1020 S Anaheim Blvd
Anaheim, CA 92805
Phone (714) 270-0684
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Garden Grove, CA
- NPI 1578636429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1780709253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "179 S PERALTA HILLS DR",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928073424",
"telephone_number": "714-974-7368",
"fax_number": "714-999-6686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 S ANAHEIM BLVD",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928055851",
"telephone_number": "714-270-0684",
"fax_number": "714-999-6686"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUM SOO LEE",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "BUM SOO",
"authorized_official_title_or_position": "STAFF PSYCHIATRIST",
"authorized_official_telephone_number": "714-279-0684",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.