SE-Young Lee MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SE-YOUNG LEE MD INC

Practice address

1706 W Orangethorpe Ave Ste D
Fullerton, CA 92833-4556

Phone

(714) 879-9988

Fax

(714) 908-8146

NPI assigned

Sep 16, 2022

Organization subpart

No

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

Authorized official

Name

Seyoung LeeNPI 1144336967

Title

Physician

Phone

(714) 879-9988

Specialties & licenses 1

Addresses

Tax ID family

SE-Young Lee MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• SE-Young Lee MD Inc

  • Internal Medicine Physician
  • Garden Grove, CA
  • NPI 1366837593
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• SE-Young Lee, M.D.

  • Internal Medicine Physician
  • Garden Grove, CA
  • NPI 1144336967
  NPD Authorized official

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1952023863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SUNRIVER",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145402",
            "telephone_number": "714-879-9988",
            "fax_number": "714-908-8146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 W ORANGETHORPE AVE STE D",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928334556",
            "telephone_number": "714-879-9988",
            "fax_number": "714-908-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SE-YOUNG LEE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SEYOUNG",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "714-879-9988"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Au, MD, Inc
• Calvin D Scott Jr.
• Collin Andrew Scott
• Kelley L Scott, NP
• Sierrah Scott
• Clara M Seal, RN
• Joann Gail-Verrone Seals
• Jennifer Sedillo
• Mahryssa Cassandra Segura-Izquierdo
• Esther Sellers, PH.D.

• Internal Medicine Physician in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.