Active NPI
Ji Eun Lee
- Pharmacist
- Redondo Beach, CA
National Provider Identifier
1861006843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 82861
- Practice address
- 2115 Artesia Blvd
Redondo Beach, CA 90278-3013 - Phone
- (424) 408-6006
- NPI assigned
- Sep 7, 2020
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 82861 | CA | Primary |
Addresses
Primary practice location
2115 Artesia Blvd
Redondo Beach, CA 90278-3013
Mailing address
6325 Via del PLZ
Rancho Palos Verdes, CA 90275-6585
Phone (310) 710-1368
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 |
|---|---|---|---|
| 82861 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599436800000",
"number": "1861006843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6325 VIA DEL PLZ",
"city": "RANCHO PALOS VERDES",
"state": "CA",
"postal_code": "902756585",
"telephone_number": "310-710-1368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 ARTESIA BLVD",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902783013",
"telephone_number": "424-408-6006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JI EUN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-07",
"last_updated": "2020-09-07",
"certification_date": "2020-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "82861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redondo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.