Active NPI
Hoonjung Lee, PA
- Physician Assistant
- Huntington Beach, CA
National Provider Identifier
1972190924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 16000 Villa Yorba Apt 623
Huntington Beach, CA 92647-3965 - Phone
- (323) 712-2069
- NPI assigned
- Dec 23, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
16000 Villa Yorba Apt 623
Huntington Beach, CA 92647-3965
Mailing address
PO Box 11586
Westminster, CA 92685-1586
Phone (323) 712-2069
Other names 1
- Carla Lee
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
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608681600000",
"number": "1972190924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11586",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926851586",
"telephone_number": "323-712-2069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16000 VILLA YORBA APT 623",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926473965",
"telephone_number": "323-712-2069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "HOONJUNG",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-23",
"last_updated": "2020-12-23",
"certification_date": "2020-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARLA",
"last_name": "LEE",
"credential": "PA",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.