Jin Y. Lee. MD. Inc.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

JIN Y. LEE. MD. INC.

Practice address

100 O'Connor Dr. #12
San Jose, CA 95128

Phone

(408) 280-5655

Fax

(408) 280-5631

NPI assigned

Sep 7, 2012

Last updated

Sep 7, 2012By 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

Mr. Jin Y. Lee, M.D.NPI 1891890570

Title

Proprietor

Phone

(408) 280-5655

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jin Y Lee, MD

  • Surgery Physician
  • San Jose, CA
  • NPI 1891890570
  Authorized official Same address or phone

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

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346976000000",
    "number": "1982953766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 O'CONNOR DR. #12",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95128",
            "telephone_number": "408-280-5655",
            "fax_number": "408-280-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 O'CONNOR DR. #12",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95128",
            "telephone_number": "408-280-5655",
            "fax_number": "408-280-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIN Y. LEE. MD. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-07",
        "last_updated": "2012-09-07",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JIN",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "408-280-5655",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raiza Jimenez, M.A., BCBA
• Stephanie Jimenez
• Tina Jimenez
• Zulema Jimenez, M.A. DEV. PSY
• Jimmy Cham DDS a Professional Corporation
• Alexander Henry Jin, MD
• Boying Jin
• Lin Jin, MD
• Shawn Shiyang Jin, MD
• Tian Jin

• Surgery Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; 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.