Active NPI
Tai Kwong Lee,MD,PHD, Inc
- Anesthesiology Physician
- Van Nuys, CA
National Provider Identifier
1942236674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A69722
- Legal business name
- TAI KWONG LEE,MD,PHD, INC
- Practice address
- 15107 Vanowen St
Van Nuys, CA 91405-4542 - Phone
- (818) 782-6600
- Fax
- (818) 715-1722
- NPI assigned
- Jun 24, 2006
- Last updated
- Sep 11, 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
- Tai Kwong Lee II, M.D.
- Title
- Sole Owner
- Phone
- (818) 888-7815
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A69722 | CA | Primary |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | A69722 | CA |
Addresses
Primary practice location
15107 Vanowen St
Van Nuys, CA 91405-4542
Mailing address
PO Box 7001
Tarzana, CA 91357-7001
Phone (818) 888-7815
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WA69722A | Other | CA | MEDICARE PPIN |
| 00A697221 | Other | CA | BLUE SHIELD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Anesthesiology Physician
- Van Nuys, CA
- NPI 1215965322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189468800000",
"number": "1942236674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7001",
"city": "TARZANA",
"state": "CA",
"postal_code": "913577001",
"telephone_number": "818-888-7815",
"fax_number": "818-715-1722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15107 VANOWEN ST",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914054542",
"telephone_number": "818-782-6600",
"fax_number": "818-715-1722"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAI KWONG LEE,MD,PHD, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-24",
"last_updated": "2007-09-11",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "TAI",
"authorized_official_middle_name": "KWONG",
"authorized_official_title_or_position": "SOLE OWNER",
"authorized_official_telephone_number": "818-888-7815",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A69722",
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "CA",
"license": "A69722",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PPIN",
"identifier": "WA69722A",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00A697221",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.