Active NPI
Curtis Kan and Jimmy Lee, OD, PTR
- Optometrist
- Los Angeles, CA
National Provider Identifier
1962551358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 07640T
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GSD001790 | Medicaid | CA | |
| SD0076400 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI 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.