Active NPI
Jeffrey Lee, M.D.
- Obstetrics & Gynecology Physician
- Glendora, CA
National Provider Identifier
1891808481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A35939
- Practice address
- 130 W Route 66
Suite 320
Glendora, CA 91740-6249 - Phone
- (626) 914-4685
- Fax
- (626) 914-1691
- NPI assigned
- Aug 16, 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | A35939 | CA | Primary |
Addresses
Primary practice location
130 W Route 66
Suite 320
Glendora, CA 91740-6249
Mailing address
130 W Route 66
Suite 320
Glendora, CA 91740-6249
Phone (626) 914-4685
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A359390 | Medicaid | CA |
Other names 1
- Dr. Duan Song Lee
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pomona Valley Hospital Medical Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1518067586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891808481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 W ROUTE 66",
"address_2": "SUITE 320",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917406249",
"telephone_number": "626-914-4685",
"fax_number": "626-914-1691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 W ROUTE 66",
"address_2": "SUITE 320",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917406249",
"telephone_number": "626-914-4685",
"fax_number": "626-914-1691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A35939",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A359390",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DUAN",
"last_name": "LEE",
"middle_name": "SONG",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Glendora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.