Organization Active NPI

Curtis Kan and Jimmy Lee, OD, PTR

  • Optometrist
  • Los Angeles, CA
National Provider Identifier
1962551358
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
07640T Issued in CA
Legal business name
CURTIS KAN AND JIMMY LEE, OD, PTR
Practice address
625 W College St
Suite 102
Los Angeles, CA 90012-1675
Phone
(213) 680-1394
Fax
(213) 680-2804
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Authorized official

Name
Dr. Curtis Kan, OD
Title
Partner
Phone
(213) 680-1394

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 07640T CA Primary

Addresses

Primary practice location

625 W College St
Suite 102
Los Angeles, CA 90012-1675

Mailing address

625 W College St
Suite 102
Los Angeles, CA 90012-1675
Phone (213) 680-1394

Other identifiers 2

IdentifierTypeStateIssuer
GSD001790MedicaidCA
SD0076400MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1962551358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W COLLEGE ST",
            "address_2": "SUITE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900121675",
            "telephone_number": "213-680-1394",
            "fax_number": "213-680-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W COLLEGE ST",
            "address_2": "SUITE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900121675",
            "telephone_number": "213-680-1394",
            "fax_number": "213-680-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURTIS KAN AND JIMMY LEE, OD, PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "KAN",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "213-680-1394",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "07640T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD001790",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0076400",
            "state": "CA"
        }
    ],
    "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 Oct 26, 2011; 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.