Active NPI
Dae Yong Lee MD a Medical Corporation
- Anesthesiology Physician
- Los Angeles, CA
National Provider Identifier
1952544124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A31152
- Legal business name
- DAE YONG LEE MD A MEDICAL CORPORATION
- Practice address
- 8136 Mulholland Ter
Los Angeles, CA 90046-1137 - Phone
- (323) 656-1071
- Fax
- (951) 683-5232
- NPI assigned
- Apr 16, 2009
- 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
- Dr. Dae Y Lee, M.D.
- Title
- Owner
- Phone
- (323) 656-1071
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A31152 | CA | Primary |
Addresses
Primary practice location
8136 Mulholland Ter
Los Angeles, CA 90046-1137
Mailing address
8136 Mulholland Ter
Los Angeles, CA 90046-1137
Phone (323) 656-1071
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1239840000000",
"number": "1952544124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8136 MULHOLLAND TER",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900461137",
"telephone_number": "323-656-1071",
"fax_number": "951-683-5232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8136 MULHOLLAND TER",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900461137",
"telephone_number": "323-656-1071",
"fax_number": "951-683-5232"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAE YONG LEE MD A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-16",
"last_updated": "2009-04-16",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "DAE",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "323-656-1071",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "CA",
"license": "A31152",
"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 Apr 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.