Lee Medical Group, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LEE MEDICAL GROUP, INC.

Practice address

14642 Newport Ave Ste 105
Tustin, CA 92780-6058

Phone

(949) 889-2212

Fax

(702) 867-1669

NPI assigned

Nov 18, 2022

Organization subpart

No

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

Authorized official

Name

Linda Mack

Title

Administrator

Phone

(626) 826-2546

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668729600000",
    "number": "1992414890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PETERS CANYON RD STE 160",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061748",
            "telephone_number": "626-826-2546",
            "fax_number": "702-867-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14642 NEWPORT AVE STE 105",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806058",
            "telephone_number": "949-889-2212",
            "fax_number": "702-867-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-18",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "626-826-2546"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helene Leang, O.D.
• Leap Chiropractic Chao PC
• Jennifer Rodriguez Lebar, LMFT
• Lee and Pi a General Partnership
• Lee Chiropractic Acupuncture Corp
• Andy Joo Lee, D.C., L.AC.
• Christine Jieun Lee, L.AC
• Cindy Lee, MD
• Daniel Lee
• Eunmee Lee, D.C.

• Internal Medicine Physician in Tustin, CA
• Providers in Tustin, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; 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.