Myles Edwin Lee, MD

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

A90654 Issued in CA

Practice address

3630 E Imperial Highway
Suite 2101
Lynwood, CA 90262-2636

Phone

(310) 603-6562

Fax

(310) 669-8236

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1891716411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 SAN VICENTE BLVD",
            "address_2": "SUITE 409",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496218",
            "telephone_number": "310-826-2073",
            "fax_number": "310-826-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 E IMPERIAL HIGHWAY",
            "address_2": "SUITE 2101",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622636",
            "telephone_number": "310-603-6562",
            "fax_number": "310-669-8236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MYLES",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "A90654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G205261",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian M Lee, MD
• Carol Chen Lee
• Michael S Lee, MD
• Michelle June Lee, PA
• Milton Irven Lee, M.D.
• Stacy Lee
• Celia Ketcham Leewood, M.A., APCC
• Rosa Lemus, RN
• Mayrin Leon
• Ashley Levin, LCS

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Lynwood, CA
• Providers in Lynwood, CA by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.