Active NPI
Sub Lee, L.AC
- Acupuncturist
- Anaheim, CA
National Provider Identifier
1871834929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC15009
- Practice address
- 1440 S Anaheim Blvd # G13
Anaheim, CA 92805-6213 - Phone
- (714) 684-1017
- NPI assigned
- Mar 13, 2013
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC15009 | CA | Primary |
Addresses
Primary practice location
1440 S Anaheim Blvd # G13
Anaheim, CA 92805-6213
Mailing address
13927 Fairway Dr
Whittier, CA 90604-2559
Phone (714) 335-7089
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 |
|---|---|---|---|
| AC15009 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738022400000",
"number": "1871834929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13927 FAIRWAY DR",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906042559",
"telephone_number": "714-335-7089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1440 S ANAHEIM BLVD # G13",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928056213",
"telephone_number": "714-684-1017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SUB",
"name_prefix": "Mr.",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-13",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC15009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.