DR. JUDY JOOYUN LEE (NPI# 1134198922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134198922 |
| Entity Type | Individual |
| Full Name | DR. JUDY JOOYUN LEE |
| Credential | M.D. |
| Practice Address |
4618 Fountain Ave Los Angeles CA 90029-1977 |
| Mailing Address |
1300 N. Vermont Ave Suite 1002 Los Angeles CA 90028-1830 |
| Practice Telephone | 3239537170 |
| Mailing Telephone | 3239537170 |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2011-12-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A75018 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538700349 | Judy Lyn Lee | Technician | 21299 Old 44 Dr, Redding, CA 96003-7987 | 2019-10-02 |
| 1578082988 | Judy Lee | Behavior Technician | 900 South Serrano Ave #401, Los Angeles, CA 90006 | 2017-09-18 |
| 1013316082 | Judy Lee | Pharmacist | 5800 Coliseum Way, Oakland, CA 94621-4043 | 2014-08-15 |
| 1770606238 | Judy Lee | Dentist | 4765 Carmel Mountain Rd Ste 200, San Diego, CA 92130-6657 | 2007-04-09 |
| 1255326104 | Judy Auxier Lee | Nurse Practitioner | 555 Gudgell Ave, Owingsville, KY 40360 | 2005-09-16 |
| 1154948834 | Judy Esther Lee | Occupational Therapist | 1908 Business Center Dr Ste 109, San Bernardino, CA 92408-3469 | 2020-06-29 |
| 1902452394 | Judy Lee | Student in an Organized Health Care Education/Training Program | 1301 Pine Ave, Long Beach, CA 90813-3124 | 2019-08-13 |
| 1194299453 | Judy Lee | Behavior Technician | 13353 Alondra Blvd Ste 105, Santa Fe Springs, CA 90670-5576 | 2019-01-18 |
| 1689170078 | Judy Lee | Counselor | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2018-04-04 |
| 1609306018 | Judy Lee | Student in an Organized Health Care Education/Training Program | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2017-06-18 |
| Street Address |
4618 FOUNTAIN AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90029-1977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437701208 | David Angel Cortez | Nurse Practitioner | 4618 Fountain Ave, Los Angeles, CA 90029-1977 | 2019-07-11 |
| 1235697251 | Top Triamwong | Pharmacist | 4618 Fountain Ave, Los Angeles, CA 90029-1977 | 2019-03-08 |
| 1962976456 | Faith Amarachukwu Onwuka | Nurse Practitioner | 4618 Fountain Ave, Los Angeles, CA 90029-1977 | 2019-01-17 |
| 1043729825 | Erinn Lewis Carusetta | Nurse Practitioner | 4618 Fountain Ave, Los Angeles, CA 90029-1977 | 2017-09-25 |
| 1831628197 | Mehranz Hakimi | Pharmacist | 4618 Fountain Ave, Los Angeles, CA 90029-1977 | 2017-06-08 |
| 1407383532 | Kristie Nakatsuchi | Pharmacist | 4618 Fountain Ave, Los Angeles, CA 90029-1977 | 2017-05-19 |
| 1376083063 | Korina D Milian | Community Health Worker | 4618 Fountain Ave, Los Angeles, CA 90029-1977 | 2017-03-01 |
| 1619417359 | Sandra Marisol Guzman | Community Health Worker | 4618 Fountain Ave, Los Angeles, CA 90029-1977 | 2017-02-28 |
| 1174071799 | Yen Le | Nurse Practitioner | 4618 Fountain Ave, Los Angeles, CA 90029-1977 | 2016-09-12 |
| 1578915807 | Elizabeth Yesenia Ramos | Social Worker | 4618 Fountain Ave, Los Angeles, CA 90029-1977 | 2016-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053884775 | Melrose Recovery, LLC. | Substance Abuse Rehabilitation Facility | 1253 N Commonwealth Ave, Los Angeles, CA 90029 | 2019-01-04 |
| 1548740939 | Mission City Community Network Inc | Clinic/Center | 5300 Santa Monica Blvd Ste 202, Los Angeles, CA 90029 | 2018-08-15 |
| 1215454707 | Dennis De Vera | Respiratory Therapist, Registered | 1154 N. Berendo St, Los Angeles, CA 90029 | 2017-08-24 |
| 1508390881 | Acadia Malibu, Inc. | Community/Behavioral Health | 4423 and 4423 1/2 Santa Monica Boulevard, Los Angeles, CA 90029 | 2017-04-13 |
| 1023556610 | Jasen Mcgoldrick | Substance Abuse Rehabilitation Facility | 4445 Burns Ave., Los Angeles, CA 90029 | 2017-02-03 |
| 1679930572 | Sukhwa Park | Acupuncturist | 4870 Santa Monica Blvd, Los Angeles, CA 90029 | 2016-01-22 |
| 1629326749 | Jocelyn Anne Brown | Midwife | 1042 Sanborn Ave Apt 9, Los Angeles, CA 90029 | 2012-08-21 |
| 1811211915 | Advanced Skilled Nursing Inc. | Skilled Nursing Facility | 975 North Virgil Avenue, Los Angeles, CA 90029 | 2010-03-17 |
| 1427244060 | Manuel Masaganda Ferreras | Technician/Technologist | 1131 N Vermont Ave Ste 101, Los Angeles, CA 90029 | 2007-09-18 |
| 1033321013 | Zhirayr Jerry Khoshoryan | Chiropractor | 1233 Vermont Ave., Suite 1b, Los Angeles, CA 90029 | 2007-05-04 |
| Find all providers in zip 90029 | ||||
| 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 |
|---|---|---|---|---|
| 1710445283 | West Tower Pediatrics | Pediatrics | 8635 W 3rd St Ste 260w, Los Angeles, CA 90048-6113 | 2019-03-04 |
| 1609368471 | Children's Health Alliance of Medical Providers, Inc. | Pediatrics | 4601 W Sunset Blvd, Los Angeles, CA 90027-6020 | 2018-06-06 |
| 1245771674 | Anna Cushing | Pediatrics | 4650 W Sunset Blvd Ms# 113, Los Angeles, CA 90027-6062 | 2017-03-18 |
| 1528501822 | Harmanpreet Chawla | Pediatrics | 444 S Kingsley Dr, Apt 149, Los Angeles, CA 90020-3267 | 2016-11-18 |
| 1104276229 | Stephanie Mai Lan Be | Pediatrics | 8731 W Pico Blvd, Los Angeles, CA 90035-2205 | 2016-06-20 |
| 1063869196 | John Banks Harlow | Pediatrics | 807 Hyperion Ave, Apt 7, Los Angeles, CA 90029-3157 | 2016-05-18 |
| 1679935811 | Patricia F. Villegas | Pediatrics | 2010 Zonal Ave Fl Opd5, Los Angeles, CA 90033 | 2016-03-27 |
| 1457710808 | Barry Charles Smith | Pediatrics | 10637 Wilkins Ave, Unit 2, Los Angeles, CA 90024-5870 | 2016-02-14 |
| 1275911364 | Eric Tsay | Pediatrics | 10833 Le Conte Ave # 22-315, Los Angeles, CA 90095-3075 | 2015-05-11 |
| 1609253566 | Sinai Pediatrics | Pediatrics | 151 S Almont Dr, Los Angeles, CA 90048-2910 | 2015-04-29 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90029 |
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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.