Kimberly J Lee MD Inc

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

A89400 Issued in CA

Legal business name

KIMBERLY J LEE MD INC

Practice address

433 N Camden Dr
780
Beverly Hills, CA 90210-4409

Phone

(310) 882-5656

NPI assigned

Jul 29, 2010

Organization subpart

No

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

Authorized official

Name

Kimberly J Lee, MDNPI 1669622122

Title

Ceo

Phone

(310) 882-5656

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly J Lee, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • Los Angeles, CA
  • NPI 1669622122
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1992019145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 N CAMDEN DR",
            "address_2": "780",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104409",
            "telephone_number": "310-882-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 N CAMDEN DR",
            "address_2": "780",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104409",
            "telephone_number": "310-882-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY J LEE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-29",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-882-5656",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "CA",
            "license": "A89400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucy Choi Kim, LCSW
• Min Kim, L.AC.
• Paula Kim
• Seohee A. Kim
• Steve Seog Kim, M.D., PHD.
• Ayumi Angie Kimura, O.D.
• Kincaid Psychiatric Nursing, Apc
• Carolyn Lee Kipper, M.D.
• David A Kipper, M.D.
• Kira Stein, MD, a Professional Corporation

• Otolaryngology/Facial Plastic Surgery Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Otolaryngology/Facial Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.