EDEN SANTIAGO LEE (NPI# 1023103215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023103215 |
| Entity Type | Individual |
| Full Name | EDEN SANTIAGO LEE |
| Other Name | EDEN R LEE |
| Credential | M.D. |
| Practice Address |
3014 W Charleston Blvd Ste 130 Las Vegas NV 89102-0083 |
| Mailing Address |
3016 W Charleston Blvd Ste 100 Las Vegas NV 89102-1973 |
| Practice Telephone | 7026716475 |
| Practice Fax Number | 7026716440 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-06-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
12198 | NV | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
35076130 | OH | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1800 W Charleston Blvd, Las Vegas, NV 891022329 | 7026716470 | 7028702572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740597970 | Eden Lee | Day Training/Habilitation Specialist | 18 County Road 458, Mountain Home, AR 72653-8212 | 2010-09-09 |
| Street Address |
3014 W CHARLESTON BLVD STE 130 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89102-0083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174152342 | Shivangi Maniar | Student in an Organized Health Care Education/Training Program | 3014 W Charleston Blvd Ste 130, Las Vegas, NV 89102-0083 | 2020-04-08 |
| 1629607908 | Giovanni Villegas | Student in an Organized Health Care Education/Training Program | 3014 W Charleston Blvd Ste 130, Las Vegas, NV 89102-0083 | 2020-04-07 |
| 1952938177 | Katie A Cho | Student in an Organized Health Care Education/Training Program | 3014 W Charleston Blvd Ste 130, Las Vegas, NV 89102-0083 | 2020-03-26 |
| 1134756208 | Kyle Choi | Student in an Organized Health Care Education/Training Program | 3014 W Charleston Blvd Ste 130, Las Vegas, NV 89102-0083 | 2020-03-26 |
| 1912534249 | Suzie Hong | Student in an Organized Health Care Education/Training Program | 3014 W Charleston Blvd Ste 130, Las Vegas, NV 89102-0083 | 2020-03-25 |
| 1417584004 | Stefano Giovanni Retis | Student in an Organized Health Care Education/Training Program | 3014 W Charleston Blvd Ste 130, Las Vegas, NV 89102-0083 | 2020-03-24 |
| 1972130722 | Daniyal Naveed Iqbal | Student in an Organized Health Care Education/Training Program | 3014 W Charleston Blvd Ste 130, Las Vegas, NV 89102-0083 | 2020-03-23 |
| 1508492448 | Jin Song Lee | Student in an Organized Health Care Education/Training Program | 3014 W Charleston Blvd Ste 130, Las Vegas, NV 89102-0083 | 2020-03-22 |
| 1114553187 | Chris Jon Fortier | Student in an Organized Health Care Education/Training Program | 3014 W Charleston Blvd Ste 130, Las Vegas, NV 89102-0083 | 2020-03-20 |
| 1174086391 | Grant A Bullock | Student in an Organized Health Care Education/Training Program | 3014 W Charleston Blvd Ste 130, Las Vegas, NV 89102-0083 | 2019-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998397 | Natasha Moore | Technician | 3210 W Charleston Suite 2, Las Vegas, NV 89102 | 2020-10-07 |
| 1568077113 | Zulma Yaneth Tervizo Lopez | Technician | 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 | 2020-09-10 |
| 1922629765 | Bianca Vaudreuil | Religious Nonmedical Practitioner | 3210 W Charleston Ste 2, Las Vegas, NV 89102 | 2020-05-04 |
| 1720608052 | Angelica Gutierrez | Technician | Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 | 2020-04-16 |
| 1396370680 | Juana Maria Hernandez | Technician | 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 | 2020-03-06 |
| 1609409648 | Janie Washington | Technician | 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 | 2020-02-18 |
| 1447893185 | Maria Josefina Castaneda | Technician | 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 | 2019-10-25 |
| 1427608777 | Virginia Hernandez Tolentino | Technician | 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 | 2019-09-18 |
| 1972153872 | Gladiola Cardoza Quinones | Technician | 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 | 2019-09-13 |
| 1801445572 | Rafael Roberto Gonzalez Palomino | Homemaker | 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 | 2019-09-05 |
| Find all providers in zip 89102 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962054007 | The Strong Behavioral Health Group | Psychiatry & Neurology | 7100 Grand Montecito Pkwy Unit 4043, Las Vegas, NV 89149-0279 | 2019-07-09 |
| 1497223432 | Desert Behavioral Solutions LLC | Psychiatry & Neurology | 2121 E Flamingo Rd Ste 204, Las Vegas, NV 89119-5124 | 2018-11-07 |
| 1053814517 | Huntridge Family Clinic Foundation Dba Prism Health Services Foundatio | Psychiatry & Neurology | 7670 West Sahara Ave, Suite B, Las Vegas, NV 89117 | 2018-03-12 |
| 1184132375 | Nevada Psychiatric Solutions Clinic, LLC | Psychiatry & Neurology | 2121 E Flamingo Rd Ste 108, Las Vegas, NV 89119-5123 | 2018-01-22 |
| 1891205340 | Nevada Tms LLC | Psychiatry & Neurology | 7391 Prairie Falcon Rd Ste 150b, Las Vegas, NV 89128-0815 | 2017-10-10 |
| 1841721917 | Deepa Hasija Md Pllc | Psychiatry & Neurology | 4000 S Eastern Ave Ste 125, Las Vegas, NV 89119-0814 | 2017-03-21 |
| 1174973382 | Asma Farooq | Psychiatry & Neurology | 8845 W Flamingo Rd Ste 210, Las Vegas, NV 89147-8745 | 2016-06-18 |
| 1245609957 | Cynthia White | Psychiatry & Neurology | 9435 S Tenaya Way # B, Las Vegas, NV 89178-9237 | 2015-09-23 |
| 1629464243 | Mohamed Sharif | Psychiatry & Neurology | 9003 Greek Palace Ave, Las Vegas, NV 89178 | 2015-04-10 |
| 1689069585 | Ejine Okoroafor Md Ltd | Psychiatry & Neurology | 20 Meadowhawk Ln, Las Vegas, NV 89135-5201 | 2015-03-30 |
| Find all providers in LAS VEGAS | ||||
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| 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.