Active NPI
Moonyoung Milton Lee, D.C.
- Orthopedic Chiropractor
- Buena Park, CA
National Provider Identifier
1861408726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- DC25158
- Practice address
- 5831 Beach Blvd
Buena Park, CA 90621-2021 - Phone
- (714) 994-1470
- Fax
- (714) 994-1430
- NPI assigned
- Jul 31, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | DC25158 | CA | Primary |
Addresses
Primary practice location
5831 Beach Blvd
Buena Park, CA 90621-2021
Mailing address
5831 Beach Blvd
Buena Park, CA 90621-2021
Phone (714) 994-1740
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 |
|---|---|---|---|
| DC25158 | CA | MD | Orthopedic Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480291200000",
"number": "1861408726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5831 BEACH BLVD",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906212021",
"telephone_number": "714-994-1740",
"fax_number": "714-994-1430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5831 BEACH BLVD",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906212021",
"telephone_number": "714-994-1470",
"fax_number": "714-994-1430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "MOONYOUNG",
"middle_name": "MILTON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2016-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "CA",
"license": "DC25158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buena Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.