Active NPI
Jae H Lee, DC, L.AC.
- Chiropractor
- Irvine, CA
National Provider Identifier
1790980811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC 21036
- Practice address
- 623 Monte Vis
Irvine, CA 92602-2013 - Phone
- (714) 334-9965
- Fax
- (866) 526-5046
- NPI assigned
- Jun 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC 21036 | CA | Primary |
| Acupuncturist | 171100000X | AC 5203 | CA |
Addresses
Primary practice location
623 Monte Vis
Irvine, CA 92602-2013
Mailing address
623 Monte Vis
Irvine, CA 92602-2013
Phone (714) 334-9965
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC 21036 | CA | MD | Chiropractor |
| AC 5203 | CA | MD | Acupuncturist |
| 21036 | CA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375228800000",
"number": "1790980811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "623 MONTE VIS",
"city": "IRVINE",
"state": "CA",
"postal_code": "926022013",
"telephone_number": "714-334-9965",
"fax_number": "866-526-5046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "623 MONTE VIS",
"city": "IRVINE",
"state": "CA",
"postal_code": "926022013",
"telephone_number": "714-334-9965",
"fax_number": "866-526-5046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JAE",
"middle_name": "H",
"credential": "DC, L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-19",
"last_updated": "2013-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC 21036",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 5203",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.