Organization Active NPI

Bum Soo Lee

  • Psychiatric Hospital
  • Anaheim, CA
National Provider Identifier
1780709253
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
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

Updated by the provider on Aug 22, 2020

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.NPI 1578636429
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.