Michael M Lee D O Inc

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

Legal business name

MICHAEL M LEE D O INC

Practice address

5353 G St
Chino, CA 91710-5250

Phone

(909) 590-3700

NPI assigned

Aug 13, 2019

Last updated

Apr 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael M Lee, DONPI 1164833018

Title

President

Phone

(530) 212-0002

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Ming-Yun Lee, D.O.

  • Psychiatry Physician
  • Chino, CA
  • NPI 1164833018
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1912553140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16155 SIERRA LAKES PKWY #160",
            "address_2": "UNIT 740",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "92336",
            "telephone_number": "530-212-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 G ST",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105250",
            "telephone_number": "909-590-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL M LEE D O INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-13",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-212-0002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meridian Medical Center of Chino
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• Supriya D Mhaskar, DDS
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• Michelle Gasper Professional Clinical Counselor Canvas Counseling Cent (Canvas Counseling Center)
• Michelle R. Congleton, Inc. (The Body Studio)
• Mid-Bell, LLC (Calicare Pharmacy)
• Marian M Mikhail, RPH
• Millennium Hospice & Palliative Care, Inc.

• Child & Adolescent Psychiatry Physician in Chino, CA
• Providers in Chino, CA by specialty
• Child & Adolescent Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.