DR. RICHARD JOONKOO LEE (NPI# 1407968068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407968068 |
| Entity Type | Individual |
| Full Name | DR. RICHARD JOONKOO LEE |
| Credential | M.D. |
| Practice Address |
3125 Myers St Rcdmh Children's Treatment Services Riverside CA 92503-5527 |
| Practice Telephone | 9513584840 |
| Practice Fax Number | 9513584848 |
| Mailing Telephone | 9513584840 |
| Mailing Fax Number | 9513584848 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2014-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
A72701 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891322525 | Richard Changmo Lee | Student in an Organized Health Care Education/Training Program | 4494 North Palmer Road America Building 2nd Floor, Bethesda, MD 20889-0001 | 2020-03-24 |
| 1992353593 | Richard Won Lee | Student in an Organized Health Care Education/Training Program | 8040 A 35th Ave Ne, Seattle, WA 98115-4852 | 2019-08-28 |
| 1184165128 | Richard Jin Lee | Physical Therapist | 312 Weeks Ave, Manorville, NY 11949-2045 | 2017-03-09 |
| 1811377021 | Richard Lee | Dentist | 960 Shoppes Blvd, North Brunswick, NJ 08902-2776 | 2015-06-02 |
| 1679838403 | Richard Lee | Radiology | 701 Park Ave # G1, Minneapolis, MN 55415-1623 | 2012-07-09 |
| 1679841241 | Richard H. Lee | Nurse Anesthetist, Certified Registered | 423 E 23rd St Dept Of, New York, NY 10010-5011 | 2011-12-09 |
| 1952547242 | Richard B Lee | Registered Nurse | 21705 Whirlaway Ave, Parker, CO 80138-3059 | 2008-12-17 |
| 1447414396 | Richard Jung Hoon Lee | Internal Medicine | 768 Via Del Monte, Palos Verdes Estates, CA 90274-1668 | 2008-07-10 |
| 1821251141 | Richard John Lee | Dentist | 19465 Deerfield Ave Ste 304, Lansdowne, VA 20176-1705 | 2008-07-07 |
| 1578766309 | Richard Norman Lee | Dentist | 1041 Parkside Commons, Suite 104, Greensboro, GA 30642 | 2007-06-08 |
| Street Address |
3125 MYERS ST RCDMH CHILDREN'S TREATMENT SERVICES |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92503-5527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616616 | Mayra Mariscal | Case Manager/Care Coordinator | 3125 Myers St, Riverside, CA 92503-5527 | 2020-07-08 |
| 1003434986 | Marco Antonio Elias-juarez | Marriage & Family Therapist | 3125 Myers St, Riverside, CA 92503-5527 | 2020-07-08 |
| 1831723980 | Kimberly N/a Franco | Marriage & Family Therapist | 3125 Myers St, Riverside, CA 92503-5527 | 2020-02-27 |
| 1609419860 | Melissa Aimee Benson | Marriage & Family Therapist | 3125 Myers St, Riverside, CA 92503-5527 | 2019-10-21 |
| 1023678810 | Aaron A Alonso | Case Manager/Care Coordinator | 3125 Myers St, Riverside, CA 92503-5527 | 2019-06-14 |
| 1730746371 | Cassandra Rodriquez | Counselor | 3125 Myers St, Riverside, CA 92503 | 2019-05-20 |
| 1548745763 | Eddy Anne Garcia | Peer Specialist | 3125 Myers St, Riverside, CA 92503-5527 | 2018-10-03 |
| 1417439910 | Brodi Thomas Petitt | Peer Specialist | 3125 Myers St, Riverside, CA 92503-5527 | 2018-08-30 |
| 1053891101 | Adriyel Angel Carrillo | Counselor | 3125 Myers St, Riverside, CA 92503-5527 | 2018-08-17 |
| 1942789508 | Ana Bertha Ramirez-gutierrez | Counselor | 3125 Myers St, Riverside, CA 92503 | 2018-08-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
| 1205396488 | Francisco Aguayo | Behavioral Analyst | 3345 Jackson St, Riverside, CA 92503 | 2019-03-22 |
| 1073071684 | Racheal Ego Aneke | Nurse Practitioner | 9890 County Farm Rd., Building 2, Riverside, CA 92503 | 2019-03-04 |
| 1073070264 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3500 Tyler Mall, Riverside, CA 92503 | 2019-02-25 |
| 1053893271 | Tsibel Dental Practice Inc. | Dentist | 10181 Magnolia Ave, Riverside, CA 92503 | 2018-09-04 |
| 1508344714 | Patricia Marraine Redondo | Counselor | 1625 14th St, Riverside, CA 92503 | 2018-07-31 |
| 1740766146 | Robles Rodef & Yaghoubi Dental Corporation | Dentist | 5628 Van Buren Blvd Suite #a, Riverside, CA 92503 | 2018-07-18 |
| 1467961755 | Daniela Popa | Assisted Living Facility | 10820 Calle Bella, Riverside, CA 92503 | 2017-09-29 |
| 1457860306 | Leah Dreany | Peer Specialist | 2085 Rustin Avenue Building #3, Riverside, CA 92503 | 2017-09-22 |
| 1710400445 | Christopher John Guting | Peer Specialist | 10230 Indiana Avenue, Riverside, CA 92503 | 2017-07-25 |
| Find all providers in zip 92503 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184665150 | John Noubueze Ojinmah | Psychiatry & Neurology | 9990 County Farm Rd, Riverside, CA 92503-3542 | 2006-06-09 |
| 1396728200 | Marshall Benjamin Wold | Psychiatry & Neurology | 610 Wampanoag Trl, Riverside, RI 02915-1504 | 2005-11-23 |
| 1598104903 | Hera Jafry | Psychiatry & Neurology | 2085 Rustin Ave, Riverside, CA 92507-2498 | 2013-06-19 |
| 1023365707 | Tanuja P Gandhi | Psychiatry & Neurology | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2012-08-13 |
| 1619234341 | Amy Egolf | Psychiatry & Neurology | 1011 Veterans Memorial Pkwy, Riverside, RI 02915 | 2012-04-19 |
| 1790051977 | Daniel Moreno De Luca | Psychiatry & Neurology | 1011 Veterans Memorial Pkwy, Riverside, RI 02915 | 2012-04-01 |
| 1487947958 | John Dax Lindo | Psychiatry & Neurology | 4095 County Circle Dr, Riverside, CA 92503-3410 | 2011-05-17 |
| 1457643355 | Kang Won Mathew Choi | Psychiatry & Neurology | 2085 Rustin Ave, Riverside, CA 92507-2498 | 2011-05-10 |
| 1003106360 | Justyna Piasecka | Psychiatry & Neurology | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2011-04-07 |
| 1386958346 | Shannon Lindsay Terkell | Psychiatry & Neurology | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2010-08-02 |
| Find all providers in RIVERSIDE | ||||
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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.