LARISSE K LEE (NPI# 1124282645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124282645 |
| Entity Type | Individual |
| Full Name | LARISSE K LEE |
| Credential | M.D. |
| Practice Address |
4955 Van Nuys Blvd Suite 704 Sherman Oaks CA 91403 |
| Practice Telephone | 8183250400 |
| Practice Fax Number | 8183250404 |
| Mailing Telephone | 8183250400 |
| Mailing Fax Number | 8183250404 |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2019-12-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
239830 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL BOARD STATE LICENSE | A117214 | 01 |
| Street Address |
4955 VAN NUYS BLVD SUITE 704 |
| City | SHERMAN OAKS |
| State | CA |
| Zip Code | 91403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457356479 | Timothy James Stacy | Nurse Practitioner | 4955 Van Nuys Blvd, Suite 502, Sherman Oaks, CA 91403-1801 | 2005-06-16 |
| 1265915367 | Jennifer Floyd | Physical Therapy Assistant | 4955 Van Nuys Blvd, Sherman Oaks, CA 91403-1801 | 2018-09-13 |
| 1801335609 | Sohail Parham A Prof Dental Corp | Dentist | 4955 Van Nuys Blvd, Ste 520, Sherman Oaks, CA 91403-1801 | 2017-02-14 |
| 1104368364 | Barbara Hibbits | Marriage & Family Therapist | 4955 Van Nuys Blvd, Suite 200, Sherman Oaks, CA 91403-1801 | 2016-11-04 |
| 1790237113 | Healing Compounds Inc | Pharmacy | 4955 Van Nuys Blvd, Sherman Oaks, CA 91403-1801 | 2016-11-02 |
| 1467903716 | Addison Asc LLC | Clinic/Center | 4955 Van Nuys Blvd, Suite 719, Sherman Oaks, CA 91403-1801 | 2016-10-21 |
| 1942664834 | Think and Be Treatment Center | Counselor | 4955 Van Nuys Blvd, Ste. 210, Sherman Oaks, CA 91403-1801 | 2016-04-07 |
| 1265893242 | Irina Binder | Pharmacist | 4955 Van Nuys Blvd, Sherman Oaks, CA 91403-1801 | 2016-03-17 |
| 1568827145 | Harold Perlaza Dds A Professional Dental Corporation | Dentist | 4955 Van Nuys Blvd, #202, Sherman Oaks, CA 91403-1801 | 2015-12-23 |
| 1902273576 | Vidya Vijay Nair | Nurse Practitioner | 4955 Van Nuys Blvd, Suite 502, Sherman Oaks, CA 91403-1801 | 2015-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130181 | Pamela F. Benyas | Psychologist | Dr. Pamela Benyas, 4419 Vans Nuys Bl #400, Sherman Oaks, CA 91403 | 2020-09-24 |
| 1245844596 | Montage Recovery California | Psychiatric Residential Treatment Facility | 15367 Valley Vista Blvd, Sherman Oaks, CA 91403 | 2020-09-03 |
| 1053870741 | Quality Life Experience | Assistant Behavior Analyst | 4723 1/4 Vista Del Monte, Sherman Oaks, CA 91403 | 2019-03-13 |
| 1871092254 | Andrew Pascual | Hospitalist | 4929 Van Nuys Blvs, Sherman Oaks, CA 91403 | 2018-02-12 |
| 1063941466 | Nancy Green Satenberg | Counselor | 4419 Van Nuys Blvd Ste. 301, Sherman Oaks, CA 91403 | 2017-06-08 |
| 1710414875 | Jeffery Edward Havig | Registered Nurse | 1536 Mission St, San Francisco, CA 91403 | 2017-05-18 |
| 1700310885 | Judy Koutal | Behavioral Analyst | 15720 Sutton St, Apt 201, Sherman Oaks, CA 91403 | 2017-04-17 |
| 1043742133 | Christa Maria Eskelin | Marriage & Family Therapist | 4419 Van Nuys Blvd, Suite 400, Sherman Oaks, CA 91403 | 2017-03-29 |
| 1760841431 | Dent All By Dr. Z | Dentist | 15301 Ventura Blvd. Ste U-5, Sherman Oaks, CA 91403 | 2016-02-23 |
| 1821456286 | Liana Kogan | Speech-Language Pathologist | 14569 Benefit Street, #312, Sherman Oaks, CA 91403 | 2016-02-01 |
| Find all providers in zip 91403 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376811406 | Larisse Lee Md PC | Surgery | 4955 Van Nuys Blvd, Suite 704, Sherman Oaks, CA 91403 | 2011-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881213817 | Robert Morton Carroll X | Surgery | 2241 Century Hl, Los Angeles, CA 90067-3506 | 2020-04-09 |
| 1992341895 | Surgicalist of Ca PC | Surgery | 3300 E South St Ste 301a, Lakewood, CA 90805-4549 | 2019-11-26 |
| 1528600558 | Kevin M Casey Md Apmc | Surgery | 1919 State St # 204-206, Santa Barbara, CA 93101-2430 | 2019-10-10 |
| 1487117594 | John Nastasi | Surgery | 100 W Valencia Mesa Dr # 211, Fullerton, CA 92835-3768 | 2019-04-08 |
| 1225508385 | Jay Labourene | Surgery | 1550 G Tiburon Blvd, Tiburon, CA 94920-2531 | 2018-12-03 |
| 1467922120 | Paul Bressman Md Inc | Surgery | 1493 S Crest Dr, Los Angeles, CA 90035-3339 | 2018-11-26 |
| 1437638517 | Thousand Oaks Vein Clinic PC | Surgery | 225 N Moorpark Rd Ste C, Thousand Oaks, CA 91360-4320 | 2018-08-09 |
| 1881186377 | Lavs Access Center Inc. | Surgery | 620 W Beverly Blvd Ste B, Montebello, CA 90640-3624 | 2018-05-31 |
| 1841789328 | Sunil Rayan, M.d., Inc. | Surgery | 320 Santa Fe Dr Ste 212, Encinitas, CA 92024-5139 | 2018-05-09 |
| 1245739820 | Northridge Vascular Center A Professional Medical Corporation | Surgery | 19331 Business Center Dr Ste 102, Northridge, CA 91324-3533 | 2018-02-08 |
| Find all providers with the same taxonomy | ||||
| City | SHERMAN OAKS |
| Zip Code | 91403 |
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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.