Active NPI
Kim Lee Enterprise and Associates
- Psychiatric/Mental Health Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1922694827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- KIM LEE ENTERPRISE AND ASSOCIATES
- Practice address
- 10511 S Western Ave
Los Angeles, CA 90047-4458 - Phone
- (424) 223-0421
- NPI assigned
- Dec 15, 2020
- 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
- Kimberly Lee, NP
- Title
- Owner
- Phone
- (424) 223-0421
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
10511 S Western Ave
Los Angeles, CA 90047-4458
Mailing address
10511 S Western Ave
Los Angeles, CA 90047-4458
National Provider Directory
National Provider DirectoryLocations
10511 S Western Ave
Los Angeles, CA 90047
Phone (323) 600-1100
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
- Los Angeles, CA
- NPI 1487668836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1625184000000",
"number": "1922694827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10511 S WESTERN AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900474458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10511 S WESTERN AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900474458",
"telephone_number": "424-223-0421"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIM LEE ENTERPRISE AND ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-15",
"last_updated": "2021-07-02",
"certification_date": "2021-07-02",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "424-223-0421",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.