DR. SANG MOON LEE (NPI# 1013942812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013942812 |
| Entity Type | Individual |
| Full Name | DR. SANG MOON LEE |
| Credential | M.D. |
| Practice Address |
1058 S Vermont Ave Los Angeles CA 90006-2721 |
| Mailing Address |
511 San Vicente Blvd Unit 302 Santa Monica CA 90402-1830 |
| Practice Telephone | 2133808833 |
| Mailing Telephone | 9162632382 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170100000X | Medical Genetics, Ph.D. Medical Genetics | A29650 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | CMM70381F | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760093231 | Sang Hoon Lee | Chiropractor | 14651 Philippine St Apt 3103, Houston, TX 77040-6969 | 2020-08-10 |
| 1184115578 | Sang Do Lee | Chiropractor | 7700 Orangethorpe Ave Ste 7b, Buena Park, CA 90621-6800 | 2018-05-22 |
| 1265937601 | Sang Chul Lee | Dentist | 222 W Cunningham St Ste 106, Butler, PA 16001 | 2018-03-27 |
| 1154700847 | Sang Lee | Acupuncturist | 20739 Lycoming St Spc 73, Walnut, CA 91789-7373 | 2015-05-27 |
| 1467733709 | Sang Lee | Pharmacist | 18 Arboretum, Irvine, CA 92620-3829 | 2011-08-31 |
| 1942467055 | Sang Wook Lee | Dentist | 7535 Little River Tpke Ste 310c, Annandale, VA 22003-2989 | 2008-05-19 |
| 1649446675 | Sang Lee | Acupuncturist | 6612 Irvine Center Dr, Irvine, CA 92618-2116 | 2008-04-30 |
| 1689850315 | Sang Eun Lee | Dentist | 2600 Highland Ave, Suite B, Highland, CA 92346-2179 | 2008-01-11 |
| 1225210263 | Sang Hwa Lee | Acupuncturist | 1870 Dublin Blvd Ste A, Colorado Springs, CO 80918-1264 | 2007-12-01 |
| 1376735837 | Sang Chun Lee | Dentist | 17451 Bastanchury Rd Ste 104a, Yorba Linda, CA 92886-1872 | 2007-08-17 |
| Street Address |
1058 S VERMONT AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90006-2721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023176229 | Dong Joon Yi | Pediatrics | 1058 S Vermont Ave, 227, Los Angeles, CA 90006-2721 | 2006-12-04 |
| 1366797870 | Seeday Hearing Aid Inc | Hearing Instrument Specialist | 1058 S Vermont Ave, Suite 101, Los Angeles, CA 90006-2721 | 2012-07-20 |
| 1396015152 | Johnny Park | Hearing Instrument Specialist | 1058 S Vermont Ave, Suite 109, Los Angeles, CA 90006-2721 | 2012-01-10 |
| 1891944633 | Soon M. Cha, M.d., Inc. | Obstetrics & Gynecology | 1058 S Vermont Ave, Suite 204, Los Angeles, CA 90006-2721 | 2008-09-17 |
| 1093985418 | Koryo Health Foundation | Clinic/Center | 1058 S Vermont Ave, Los Angeles, CA 90006-2721 | 2008-03-03 |
| 1497933691 | Koryo Health Foundaton | Clinic/Center | 1058 S Vermont Ave, Los Angeles, CA 90006-2721 | 2008-02-11 |
| 1679787766 | Moon Ju Kim | Nurse Practitioner | 1058 S Vermont Ave, Los Angeles, CA 90006-2721 | 2007-05-09 |
| 1952460156 | Koryo Health Foundation | General Practice | 1058 S Vermont Ave, Los Angeles, CA 90006-2721 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114583549 | Ruahrena Corporation | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3053 West Olympic Boulevard, Suite 301, Los Angeles, CA 90006 | 2019-05-10 |
| 1770048266 | Luxi Optometry, Inc | Ophthalmology | 3250 W. Olympic Blvd #221, Los Angeles, CA 90006 | 2019-02-08 |
| 1053895565 | Lili Mirtorabi D.d.s A Professional Corporation | Dentist | 2368 Pico Boulevard, Los Angeles, CA 90006 | 2018-09-20 |
| 1083192116 | Sanghee Hong | Nurse Practitioner | 2655 W Olympic Blvd Ste 101, Los Angeles, CA 90006 | 2018-07-31 |
| 1134638919 | Joon Hyung Kim | Chiropractor | 3130 W. Olympic Blvd., Suite 350, Los Angeles, CA 90006 | 2017-09-25 |
| 1578082988 | Judy Lee | Behavior Technician | 900 South Serrano Ave #401, Los Angeles, CA 90006 | 2017-09-18 |
| 1689126773 | Seungah Madison Lee | Acupuncturist | 3053 W. Olympic Blvd, #311, Los Angeles, CA 90006 | 2016-10-25 |
| 1790149789 | Kihyun Kim | Acupuncturist | 975 S. Vermont Ave, #201, Los Angeles, CA 90006 | 2016-04-06 |
| 1407215486 | Young Zoo Kim | Acupuncturist | 1001 S. Vermont Ave, #207, L.a., CA 90006 | 2016-02-18 |
| 1376916817 | Global Eastern Medicine Group | Acupuncturist | 1010 S. Fedora St. #101, Los Angeles, CA 90006 | 2015-11-05 |
| Find all providers in zip 90006 | ||||
| Taxonomy Code | 170100000X |
| Grouping | Other Service Providers |
| Classification | Medical Genetics, Ph.D. Medical Genetics |
| A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |
| Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952856205 | Sana Alexandrovna Nodelman | Medical Genetics, Ph.D. Medical Genetics | 7224 Hillside Ave, 26, Los Angeles, CA 90046-2359 | 2016-08-16 |
| 1679655203 | Aramais Paronyan | Medical Genetics, Ph.D. Medical Genetics | 5220 Santa Monica Blvd Ste E, Los Angeles, CA 90029-1234 | 2006-10-20 |
| 1073543815 | Joseph Rudison | Medical Genetics, Ph.D. Medical Genetics | 9014 S Broadway, Los Angeles, CA 90003-3631 | 2006-07-04 |
| 1881145266 | Hane Lee | Medical Genetics, Ph.D. Medical Genetics | 10833 Le Conte Ave, Los Angeles, CA 90095-1732 | 2016-10-20 |
| 1285009027 | Samuel Strom | Medical Genetics, Ph.D. Medical Genetics | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2015-12-04 |
| 1932419975 | Anna H. Wu | Medical Genetics, Ph.D. Medical Genetics | 1441 Eastlake Ave, 4443, Los Angeles, CA 90089-0112 | 2010-10-08 |
| 1801095435 | Nagesh P Rao | Medical Genetics, Ph.D. Medical Genetics | 1000 Veteran Ave, Room 22-26 Rehab Bldg, Ucla Cytogenetics Laboratory, Los Angeles, CA 90024-2704 | 2007-07-13 |
| 1902003478 | Kenneth E Wolf | Medical Genetics, Ph.D. Medical Genetics | 12021 Wilmington Ave, Los Angeles, CA 90059-3019 | 2007-06-28 |
| 1306049440 | Tommy Eugene Howard | Medical Genetics, Ph.D. Medical Genetics | 11301 Wilshire Blvd Bldg 500, Dept. of Pathology & Laboratory Medicine, Los Angeles, CA 90073-1003 | 2007-06-07 |
| 1447300504 | Robert A Glazer | Medical Genetics, Ph.D. Medical Genetics | 5250 Santa Monica Blvd, Suite 208, Los Angeles, CA 90029-1252 | 2007-01-11 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90006 |
Please comment or provide details below to improve the information on DR. SANG MOON LEE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.