Organization Active NPI

Herbert H. Lee, MD, M.P.H., Inc.

  • Internal Medicine Physician
  • Irvine, CA
National Provider Identifier
1992994792
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A41465 Issued in CA
Legal business name
HERBERT H. LEE, MD, M.P.H., INC.
Practice address
4870 Barranca Pkwy
#300
Irvine, CA 92604-4709
Phone
(949) 552-9628
Fax
(949) 552-3758
NPI assigned
Oct 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Authorized official

Name
Herbert H. Lee, MDNPI 1740206689
Title
Owner
Phone
(949) 552-9628

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A41465 CA Primary

Addresses

Primary practice location

4870 Barranca Pkwy
#300
Irvine, CA 92604-4709

Mailing address

4870 Barranca Pkwy
#300
Irvine, CA 92604-4709
Phone (949) 552-9628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040920001324 CA Part B Supplier - Clinic/Group Practice 2769450410 Receives reassigned benefits from 1 practitioner
Practice locations: Irvine, CA

National Provider Directory

National Provider Directory

Locations

15785 Laguna Canyon Rd
Ste 230
Irvine, CA 92618
Phone (949) 552-9628

4870 Barranca Pkwy
Ste 300
Irvine, CA 92604
Phone (949) 552-9628

113 Waterworks Way
Ste 320
Irvine, CA 92618

113 Waterworks Way
Ste 315A
Irvine, CA 92618
Phone (949) 552-9628

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1992994792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4870 BARRANCA PKWY",
            "address_2": "#300",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044709",
            "telephone_number": "949-552-9628",
            "fax_number": "949-552-3758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4870 BARRANCA PKWY",
            "address_2": "#300",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044709",
            "telephone_number": "949-552-9628",
            "fax_number": "949-552-3758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERBERT H. LEE, MD, M.P.H., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-552-9628",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A41465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.