DR. CHANG JOON LEE M.D. NPI 1093891483

NPI Information

NPI: 1093891483
Provider Name: DR. CHANG JOON LEE, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
4811 FLORENCE AVE
BELL, CA
ZIP 90201
Phone: (323) 562-3180
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DR. Chang Joon Lee, M.D. is a specialist in Bell, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Chang Joon Lee, M.D. NPI is 1093891483. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4811 FLORENCE AVE
BELL, CA
ZIP 90201-316
Phone: (323) 562-3180
Fax: (323) 562-4979

The enumeration date for this NPI number is 10/27/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		A36129	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A36129	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
2	00A361290	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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