Active NPI
Bonnie Solim Lee, NNP
- Critical Care Neonatal Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1790098713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Neonatal Nurse Practitioner
- License
- NPF16313
- Practice address
- 4650 W Sunset Blvd
Mailstop #31
Los Angeles, CA 90027-6062 - Phone
- (323) 361-2450
- Fax
- (323) 361-7927
- NPI assigned
- Jul 19, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | NPF16313 | CA | Primary |
Addresses
Primary practice location
4650 W Sunset Blvd
Mailstop #31
Los Angeles, CA 90027-6062
Mailing address
1330 Micheltorena St
Los Angeles, CA 90026-2718
Phone (323) 361-2450
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
| License | State | Type | Specialty |
|---|---|---|---|
| NPF16313 | CA | MD | Critical Care Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital Los Angeles | Past | Accepting new patients |
Interoperability endpoints
- blee222128@direct.cshs.org
Organizations & group practices 1
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.
-
- Children's Chronic Disease Hospital
- Los Angeles, CA
- NPI 1366527954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279497600000",
"number": "1790098713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 MICHELTORENA ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900262718",
"telephone_number": "323-361-2450",
"fax_number": "323-361-7927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 W SUNSET BLVD",
"address_2": "MAILSTOP #31",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900276062",
"telephone_number": "323-361-2450",
"fax_number": "323-361-7927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "BONNIE",
"middle_name": "SOLIM",
"name_prefix": "Ms.",
"credential": "NNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-19",
"last_updated": "2010-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "CA",
"license": "NPF16313",
"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 Jul 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.