Kevin E. Lee MFT

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MFC169650 Issued in CA

Legal business name

KEVIN E. LEE MFT

Doing business as

Kevin E Lee

Practice address

8320 Mission Blvd
4
Jurupa Valley, CA 92509-2970

Phone

(951) 329-9086

Fax

(951) 777-2066

NPI assigned

Aug 2, 2013

Last updated

Aug 2, 2013By 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

Mr. Kevin Eugene Lee, MFT

Title

Owner

Phone

(909) 917-5672

Specialties & licenses 1

Addresses

Other names 1

• KEVIN E LEE Doing business as

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1942632732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8320 MISSION BLVD STE 4",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925092970",
            "telephone_number": "951-329-9086",
            "fax_number": "951-777-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8320 MISSION BLVD",
            "address_2": "4",
            "city": "JURUPA VALLEY",
            "state": "CA",
            "postal_code": "925092970",
            "telephone_number": "951-329-9086",
            "fax_number": "951-777-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN E. LEE MFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-02",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-917-5672",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "MFC169650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KEVIN E LEE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jurupa Valley Pharmacy Inc. (Jurupa Valley Pharmacy)
• Edward Kireri Kamotho
• Zipporah Wanjeri Kamotho, LVN
• Razieh Karimlangi
• Shawn Keepers
• Justin Dongeon Kim, DMD
• Adam Ames Korick
• Xenia TSZ-Shan Kwok
• Ayerim Lagunas
• Stephenie Laktash, COTA/L

• Community/Behavioral Health Agency in Jurupa Valley, CA
• Providers in Jurupa Valley, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.