Elizabeth Slass Lee a Medical Corporation

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

G81425 Issued in CA

Legal business name

ELIZABETH SLASS LEE A MEDICAL CORPORATION

Practice address

2999 Regent St
Suite 401
Berkeley, CA 94705-2190

Phone

(510) 704-2170

Fax

(510) 704-2173

NPI assigned

Dec 21, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth S Lee, M.D.

Title

President

Phone

(510) 704-2170

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1841593472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2999 REGENT ST",
            "address_2": "SUITE 401",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052190",
            "telephone_number": "510-704-2170",
            "fax_number": "510-704-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 REGENT ST",
            "address_2": "SUITE 401",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052190",
            "telephone_number": "510-704-2170",
            "fax_number": "510-704-2173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH SLASS LEE A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-21",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-704-2170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G81425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Broheen Joseph Elias, PA-C
• Eliasieh Medical Corporation (Lunata)
• Kasra Eliasieh, M.D.
• Neda G Elijah, OD
• Alexandra M. Elite, LCSW
• Ellen Bier Physical Therapy
• Nancy Woods Ellinger, LCSW
• David Elliot
• Caitlin Ellis
• Julia Ellis, MFT

• Plastic Surgery Physician in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.