Peter PO Nung Lee, M.D

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

A67385 Issued in CA

Practice address

1755 Klamath Ave
San Mateo, CA 94403-1020

Phone

(310) 882-9389

Fax

(650) 581-1510

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: plee257274@oc.providencedirect.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tower Hematology Oncology Medical Group

  • Specialist
  • Beverly Hills, CA
  • NPI 1730271271
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1992724272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 KLAMATH AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031020",
            "telephone_number": "310-882-9389",
            "fax_number": "650-581-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 KLAMATH AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031020",
            "telephone_number": "310-882-9389",
            "fax_number": "650-581-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "PETER",
        "middle_name": "PO NUNG",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A67385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A673850",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melinda Lee
• Michele Lee
• Michelle Lee
• Michelle Lee, NP
• Nicole Nakyung Lee, MD
• Shannon Ling Lee, MOT, OTR/L
• Sheila Lee
• Susie Mei Fun Lee, O.D.
• Tiffany Insley Lee, RN
• Yunnie Lee, M.D.

• Hematology & Oncology Physician in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Hematology & Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.