Organization Active NPI

Stephen Y. Lee, M.D. Inc.

  • Specialist
  • Montebello, CA
National Provider Identifier
1811029929
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A32681 Issued in CA
Legal business name
STEPHEN Y. LEE, M.D. INC.
Practice address
111 W Beverly Blvd
Suite 227
Montebello, CA 90640-4312
Phone
(323) 727-0367
Fax
(323) 727-1955
NPI assigned
Mar 12, 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
Sue Lee
Title
Office Manager
Phone
(323) 727-0367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A32681 CA Primary

Addresses

Primary practice location

111 W Beverly Blvd
Suite 227
Montebello, CA 90640-4312

Mailing address

111 W Beverly Blvd
Suite 227
Montebello, CA 90640-4312
Phone (323) 727-0367

National Provider Directory

National Provider Directory

Locations

111 W Beverly Blvd
Ste 227
Montebello, CA 90640
Phone (213) 727-0367

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811029929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W BEVERLY BLVD",
            "address_2": "SUITE 227",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404312",
            "telephone_number": "323-727-0367",
            "fax_number": "323-727-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W BEVERLY BLVD",
            "address_2": "SUITE 227",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404312",
            "telephone_number": "323-727-0367",
            "fax_number": "323-727-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN Y. LEE, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "323-727-0367"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A32681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, 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.