Martin H. Lee, M.D., Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

G53608 Issued in CA

Legal business name

MARTIN H. LEE, M.D., INC

Practice address

1245 Wilshire Blvd Ste 780
Los Angeles, CA 90017-4881

Phone

(213) 480-0711

Fax

(213) 480-0715

NPI assigned

Sep 27, 2006

Last updated

Feb 28, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Martin Hyungil Lee, M.D,

Title

President

Phone

(213) 480-0711

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582848000000",
    "number": "1982795472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3188 W OLYMPIC BLVD",
            "address_2": "SUITE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062421",
            "telephone_number": "213-480-0711",
            "fax_number": "213-480-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD STE 780",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174881",
            "telephone_number": "213-480-0711",
            "fax_number": "213-480-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN H. LEE, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "HYUNGIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-480-0711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G53608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.

Verify at the official NPI Registry.