Wellmate Dr Lee Chiropractic Clinic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

WELLMATE DR LEE CHIROPRACTIC CLINIC INC

Doing business as

Wellmate Clinic

Practice address

1107 Crenshaw Blvd
Los Angeles, CA 90019-3112

Phone

(323) 289-8601

Fax

(323) 289-8603

NPI assigned

Jul 30, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Brian K Lee, DCNPI 1295296598

Title

President

Phone

(213) 210-8763

Specialties & licenses 2

Addresses

Other names 1

• Wellmate Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Kisub Lee, DC

  • Chiropractor
  • Los Angeles, CA
  • NPI 1295296598
  Medicare reassignment Care Compare group NPD Authorized official
• Jennifer K. Champa, PT

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1144487190
  Medicare reassignment Care Compare group NPD
• Hyungwon Lee, PHD, LAC

  • Acupuncturist
  • Los Angeles, CA
  • NPI 1164076774
  NPD (past)

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1821607268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 CRENSHAW BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900193112",
            "telephone_number": "323-289-8601",
            "fax_number": "323-289-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 CRENSHAW BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900193112",
            "telephone_number": "323-289-8601",
            "fax_number": "323-289-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLMATE DR LEE CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-30",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-210-8763",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellmate Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wellmate Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adam Claude Welles
• Sean Welling, CADC-I
• Stephanie Wellington
• Tadeusz Wellisz, M.D.
• Alexandria Chloe Wellman
• Rachia Wellner, MFT
• Wellness & Equity Foundation Inc. (Wei)
• Wellness Center at Century City
• Wellness Group of California Family Therapy, Professional Corporation
• Wellness Interprofessional Physical Therapy Corporation, PC (MetroHealth Station, PC)

• Chiropractor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.