Active NPI
Leslie Lee, M.D., a Professional Medical Corporation
- Internal Medicine Physician
- Alhambra, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- LESLIE LEE, M.D., A PROFESSIONAL MEDICAL CORPORATION
- Practice address
- 150 S Raymond Ave
Alhambra, CA 91801-3166 - Phone
- (626) 300-0008
- NPI assigned
- Jan 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Leslie Lee, M.D.
- Title
- Owner
- Phone
- (626) 300-0008
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Neurological Surgery Physician | 207T00000X | A062246 | CA |
Addresses
Primary practice location
150 S Raymond Ave
Alhambra, CA 91801-3166
Mailing address
150 S Raymond Ave
Alhambra, CA 91801-3166
Phone (626) 300-0008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W16871A | Other | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0956406 | Leslie Lee MD a Professional Medical Corp | Certificate of waiver | Jan 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
150 S Raymond Ave
Alhambra, CA 91801
Phone (626) 300-0008
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Alhambra, CA
- NPI 1790830156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692921600000",
"number": "1912052275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 S RAYMOND AVE",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918013166",
"telephone_number": "626-300-0008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 S RAYMOND AVE",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918013166",
"telephone_number": "626-300-0008"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LESLIE LEE, M.D., A PROFESSIONAL MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-24",
"last_updated": "2023-08-25",
"certification_date": "2023-08-25",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "LESLIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "626-300-0008",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": "CA",
"license": "A062246",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "W16871A",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alhambra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.