Individual provider Active NPI

Judy Lang Lee, D.C.

  • Chiropractor
  • Tarzana, CA
National Provider Identifier
1972694453
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC15287 Issued in CA
Practice address
5567 Reseda Blvd
Suite 101
Tarzana, CA 91356-2648
Phone
(213) 387-4710
Fax
(213) 387-4811
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC15287 CA Primary
Acupuncturist 171100000X AC2914 CA

Addresses

Primary practice location

5567 Reseda Blvd
Suite 101
Tarzana, CA 91356-2648

Mailing address

10150 Topeka Dr
Northridge, CA 91324-1226
Phone (818) 620-1358

Other names 1

  • Ms. Judy Lang Lee Other 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
15287CAMDAddiction (Substance Use Disorder) Counselor
DC15287CAMDChiropractor
AC2914CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431475200000",
    "number": "1972694453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10150 TOPEKA DR",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913241226",
            "telephone_number": "818-620-1358",
            "fax_number": "818-717-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5567 RESEDA BLVD",
            "address_2": "SUITE 101",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562648",
            "telephone_number": "213-387-4710",
            "fax_number": "213-387-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JUDY",
        "middle_name": "LANG",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2015-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC15287",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC2914",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDY",
            "last_name": "LEE",
            "middle_name": "LANG",
            "prefix": "MS.",
            "credential": "L.AC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.