JI YON LEE MD, INC (NPI# 1043617939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043617939 |
| Entity Type | Organization |
| Organization Name | JI YON LEE MD, INC |
| Other Organization Name | GRACE PEDIATRICS |
| Practice Address |
17305 Von Karman Ave Ste 111 Irvine CA 92614-0963 |
| Practice Telephone | 9497573690 |
| Practice Fax Number | 9495969146 |
| Mailing Telephone | 9497573690 |
| Mailing Fax Number | 9495969146 |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2014-11-21 |
| Authorized Official Name | JI YON HAN (CEO) |
| Authorized Official Telephone | 9497573690 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A108338 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| GRACE PEDIATRICS | Doing Business As Name - Organization |
| Street Address |
17305 VON KARMAN AVE STE 111 |
| City | IRVINE |
| State | CA |
| Zip Code | 92614-0963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578868998 | Y Nha Thi Thi Dinh | Physician Assistant | 17305 Von Karman Ave, Irvine, CA 92614-0963 | 2011-01-14 |
| 1942620828 | Wellness Today, Inc | Chiropractor | 17305 Von Karman Ave, Suite 109, Irvine, CA 92614-0963 | 2014-04-18 |
| 1255615761 | Andrea Nguyen | Physician Assistant | 17305 Von Karman Ave, Suite 107, Irvine, CA 92614-0963 | 2011-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396352944 | Irvine Surgical Center LLC | Clinic/Center | 17624 Redhill Ave Ste B, Irvine, CA 92614 | 2020-09-28 |
| 1245843572 | Jose Raul Sanchez IIi | Behavior Technician | 1063 Mcgraw Ave, Irvine, CA 92614 | 2020-08-26 |
| 1548871064 | Angelina Renee Armenta | Behavior Technician | 1063 Mcgraw Avenue, Suite 100, Irvine, CA 92614 | 2020-08-10 |
| 1083267827 | Jd Health LLC | Durable Medical Equipment & Medical Supplies | 18003 Sky Park Circle, Suite B-c, Irvine, CA 92614 | 2019-07-22 |
| 1326609280 | Abigail Briana Lozano-flores | Behavior Technician | 18008 Sky Park Circle, Suite 110, Irvine, CA 92614 | 2019-06-21 |
| 1770085235 | Heather M. Ayala | Dietitian, Registered | 17985 Sky Park Circle Suite A, Irvine, CA 92614 | 2018-03-01 |
| 1598266033 | Camille Plumbar | Chiropractor | 17811 Skypark Circle, Suite E, Irvine, CA 92614 | 2018-02-21 |
| 1952812448 | Mary M Ahmadian | Nurse Practitioner | Global Transitional Care Suite 100, 2 Executive Circle, Irvine, CA 92614 | 2017-10-24 |
| 1134656804 | Reza Abaei Tafreshi | Dentist | 3 Pazzi, Irvine, CA 92614 | 2017-05-12 |
| 1467991307 | Laboratory Medicine Consultants In Diagnostics | Medical Genetics | 1565 A Mcgaw Ave, Irvine, CA 92614 | 2017-02-13 |
| Find all providers in zip 92614 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306224738 | Nicholas David Jacobson | Pediatrics | 176 Santa Louisa, Irvine, CA 92606-8855 | 2015-05-18 |
| 1134419443 | Anthony Ritchie Chuang | Pediatrics | 635 Monte Vis, Irvine, CA 92602 | 2011-04-08 |
| 1891024766 | Christine Peng | Pediatrics | 19 Spring Buck, Irvine, CA 92614-7431 | 2009-12-23 |
| 1518196328 | Cheryl Lempert-cohen | Pediatrics | 19512 Sierra Seco Rd, Irvine, CA 92603-3837 | 2009-07-14 |
| 1124264742 | Renee Stein | Pediatrics | 81 Linhaven, Irvine, CA 92602-0780 | 2009-01-02 |
| 1336335322 | Armand Widjaja | Pediatrics | 250 E Yale Loop Ste 200, Irvine, CA 92604-4697 | 2007-09-24 |
| 1598957458 | Hea In Cha | Pediatrics | 533 Cantor, Irvine, CA 92620-3842 | 2007-08-15 |
| 1790999795 | Aarathi Rangachar | Pediatrics | 4870 Barranca Pkwy Ste 300, Irvine, CA 92604 | 2007-05-09 |
| 1285858274 | Ji Yon Han | Pediatrics | 4902 Irvine Center Dr Ste 102, Irvine, CA 92604-3334 | 2007-04-12 |
| 1700901139 | Chih-kuan Wang | Pediatrics | 16300 Sand Canyon Ave Ste 811, Irvine, CA 92618-3708 | 2007-03-21 |
| Find all providers in IRVINE | ||||
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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.