Individual provider Active NPI

David Lee, MD

  • General Practice Physician
  • La Palma, CA
National Provider Identifier
1962818179
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A121246 Issued in CA
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

Updated by the provider on Sep 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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. Professional name

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Porter Ranch Integrative Medical Clinic, a Professional Corporation PastSince Jul 24, 2022 Accepting new patients
Porter Ranch Medical Center PastSince Jul 24, 2022 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.

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.

Verify at the official NPI Registry.