DR. CHARLES KYUNG CHUL LEE (NPI# 1487635298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487635298 |
| Entity Type | Individual |
| Full Name | DR. CHARLES KYUNG CHUL LEE |
| Other Name | CHARLES K. LEE |
| Credential | MD |
| Practice Address |
2250 Hayes Street Suite 508 San Francisco CA 94117-1078 |
| Mailing Address |
2250 Hayes St Suite #508 San Francisco CA 94117-1078 |
| Practice Telephone | 4159338330 |
| Practice Fax Number | 4159338292 |
| Mailing Telephone | 4159338330 |
| Mailing Fax Number | 4159338292 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2007-07-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
A82918 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | 00A829180 | 01 |
| CA | 00A829180 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275164097 | Charles L Lee II | Behavioral Analyst | 31194 Millbury Dr, Menifee, CA 92584-6617 | 2020-01-30 |
| 1043670854 | Charles Lee | Social Worker | 6654 Gilbert Pl, Shreveport, LA 71106-3425 | 2016-03-07 |
| 1245577212 | Charles Clifton Lee | Pharmacist | 1824 Hardman Ln, Woodstock, GA 30188-3103 | 2013-01-11 |
| 1336492891 | Charles J Lee | Dentist | 5005 N Piedras St Bldg 128, Dentac, El Paso, TX 79920-5001 | 2012-10-22 |
| 1306143847 | Charles Lee | Dentist | 7477 W Lake Mead Blvd, Ste 106, Las Vegas, NV 89128 | 2011-02-18 |
| 1902013915 | Charles Dudley Lee | Radiology | 16643 Maverick Ln, Poway, CA 92064-1613 | 2007-05-17 |
| 1003032061 | Charles C Lee | Dentist | 342 S Broadway, Escondido, CA 92025-4207 | 2007-04-18 |
| 1629115779 | Charles Mack Lee | Home Health Aide | 3919 E 147th St, Cleveland, OH 44128-1082 | 2007-01-30 |
| 1821143538 | Charles Churlmin Lee | Anesthesiology | 1711 Livingston Rd, Fort Meade, MD 20744 | 2007-01-24 |
| 1770645681 | Charles C Lee | Chiropractor | 20 E Northwest Hwy, Mt Prospect, IL 60056-3223 | 2006-12-15 |
| Street Address |
2250 HAYES STREET SUITE 508 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94117-1078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740261627 | Carlos Quintana | Psychiatry & Neurology | 2250 Hayes Street, Suite 504, San Francisco, CA 94117 | 2005-11-08 |
| 1487720454 | Benjamin H Maeck IIi | Internal Medicine | 2250 Hayes Street, #205, San Francisco, CA 94117-1078 | 2006-11-28 |
| 1023120565 | Charles J Starrett | Podiatrist | 2250 Hayes Street, Ste 501, San Francisco, CA 94117 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497231765 | Tsz Ching Isaac Chung | Counselor | 2020 Hayes Street, San Francisco, CA 94117 | 2018-07-19 |
| 1124578901 | Michelle Elizabeth Cohen | Nurse Practitioner | 350 Parnassus Ave Ste 908, San Francisco, CA 94117 | 2016-10-05 |
| 1235686346 | Amy Burtelow | Massage Therapist | 425 Divisadero Street Suite 300, San Francisco, CA 94117 | 2016-09-07 |
| 1851790430 | Elissa Stevens | Counselor | 1757 Waller Street, San Francisco, CA 94117 | 2014-08-19 |
| 1831508043 | Colmed Laboratories & Radiology | Clinical Medical Laboratory | 560 Haight Street #104, San Francisco, CA 94117 | 2014-08-13 |
| 1972917847 | Radha Yerneni | Internal Medicine | 450 Stanyan St Fl 6, San Francisco, CA 94117 | 2014-06-18 |
| 1811333594 | Julia Wong | Counselor | 425 Divisadero Street, Suite 300, San Francisco, CA 94117 | 2013-05-21 |
| 1740623529 | Cody Elizabeth Berry | Social Worker | 425 Divisadero, Suite 300, San Francisco, CA 94117 | 2013-04-11 |
| 1235471848 | Steven Ryan Vidrine | Psychiatry & Neurology | 350 Parnassus Ave Ste 201, San Francisco, CA 94117 | 2013-03-21 |
| 1699043810 | Podiatry Plan Inc | Podiatrist | 1353b Haight Street, San Francisco, CA 94117 | 2011-12-02 |
| Find all providers in zip 94117 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902218837 | Deschamps-braly Foundation for Pediatric Craniofacial Maladies | Surgery | 450 Sutter St. #1520, San Francisco, CA 94108 | 2014-05-27 |
| 1447416771 | Paymon Rahgozar | Surgery | 505 Parnassus Ave # M593, San Francisco, CA 94143-2204 | 2008-08-06 |
| 1760645022 | David Andrew Sieber | Surgery | 450 Sutter St Rm 2630, San Francisco, CA 94108-4205 | 2008-07-08 |
| 1871789826 | Thomas Satterwhite | Surgery | 2299 Post St Ste 207, San Francisco, CA 94115-3473 | 2007-09-23 |
| 1124143797 | James John Romano | Surgery | 1650 Jackson St Ste 101, #101, San Francisco, CA 94109-3059 | 2007-03-20 |
| 1962575563 | Mats Hagstrom | Surgery | 909 Hyde St Ste 210, San Francisco, CA 94109-4845 | 2006-11-15 |
| 1992874960 | Ucsf Center for Craniofacial Anomalies | Surgery | 513 Parnassus Avenue S-747, San Francisco, CA 94143-0442 | 2006-11-06 |
| 1750371571 | Buncke Medical Clinic Inc. | Surgery | 45 Castro St., #121, San Francisco, CA 94114-1010 | 2005-10-24 |
| 1619213428 | Deschamps-braly Clinic of Plastic and Craniofacial Surgery | Surgery | 360 Post St Ste 901, San Francisco, CA 94108-4988 | 2012-12-26 |
| 1841544871 | Corey S. Maas M.d. A Professional Corporation | Surgery | 2400 Clay St, San Francisco, CA 94115-1809 | 2012-10-29 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94117 |
Please comment or provide details below to improve the information on DR. CHARLES KYUNG CHUL LEE.
| 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.