Active NPI
David Lee, MD
- General Practice Physician
- La Palma, CA
National Provider Identifier
1962818179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A121246
- Practice address
- 5471 La Palma Ave Ste 205
La Palma, CA 90623-1733 - Phone
- (714) 521-6690
- NPI assigned
- Jul 8, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A121246 | CA | Primary |
Addresses
Primary practice location
5471 La Palma Ave Ste 205
La Palma, CA 90623-1733
Mailing address
5471 La Palma Ave Ste 205
La Palma, CA 90623-1733
Phone (714) 521-6690
Other practice location 1
24230 Hawthorne Blvd
Torrance, CA 90505-6505
Phone (310) 868-8300
Other practice location 2
11177 Tampa Ave Ste A
Porter Ranch, CA 91326-2254
Phone (818) 831-8000
Other names 1
- David Lee, M.D., Inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Porter Ranch Integrative Medical Clinic, a Professional Corporation | Past | Accepting new patients | |
| Porter Ranch Medical Center | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Porter Ranch, CA
- NPI 1043642358
-
- Contractor
- Porter Ranch, CA
- NPI 1184731960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662681600000",
"number": "1962818179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5471 LA PALMA AVE STE 205",
"city": "LA PALMA",
"state": "CA",
"postal_code": "906231733",
"telephone_number": "714-521-6690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5471 LA PALMA AVE STE 205",
"city": "LA PALMA",
"state": "CA",
"postal_code": "906231733",
"telephone_number": "714-521-6690"
}
],
"practiceLocations": [
{
"address_1": "24230 Hawthorne Blvd",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "905056505",
"country_code": "US",
"telephone_number": "310-868-8300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11177 Tampa Ave Ste A",
"address_purpose": "LOCATION",
"city": "Porter Ranch",
"state": "CA",
"postal_code": "913262254",
"country_code": "US",
"telephone_number": "818-831-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "DAVID",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-08",
"last_updated": "2022-09-09",
"certification_date": "2022-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A121246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DAVID",
"last_name": "LEE, M.D., INC.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in La Palma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.