DR. CRYSTINE M. LEE (NPI# 1508853896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508853896 |
| Entity Type | Individual |
| Full Name | DR. CRYSTINE M. LEE |
| Credential | M.D. |
| Practice Address |
5 Bon Air Road Ste. 101 Larkspur CA 94939 |
| Practice Telephone | 4159242515 |
| Practice Fax Number | 4159242661 |
| Mailing Telephone | 4159242515 |
| Mailing Fax Number | 4159242661 |
| Enumeration Date | 2005-10-01 |
| Last Update Date | 2012-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | A65187 | CA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 065187 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
5 BON AIR ROAD STE. 101 |
| City | LARKSPUR |
| State | CA |
| Zip Code | 94939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891034328 | Margo Elizabeth Hanlan | Nurse Practitioner | 5 Bon Air Road, Ste. 105, Larkspur, CA 94939 | 2013-02-04 |
| 1144475112 | Sara Koenig | Nurse Practitioner | 5 Bon Air Road, Ste. 105, Larkspur, CA 94939 | 2008-11-18 |
| 1780758250 | Julie Bokser | Pediatrics | 5 Bon Air Road, Ste. 105, Larkspur, CA 94939 | 2006-11-17 |
| 1265525075 | Helen Michelle Biren | Psychiatry & Neurology | 5 Bon Air Road, Suite 221, Larkspur, CA 94939-1136 | 2006-10-02 |
| 1073580320 | Tamalpais Pediatrics | Pediatrics | 5 Bon Air Road, Ste. 105, Larkspur, CA 94939 | 2006-03-07 |
| 1841270451 | Nelson Branco | Pediatrics | 5 Bon Air Road, Ste. 105, Larkspur, CA 94939 | 2006-01-19 |
| 1881673283 | Erin Noel Heath | Pediatrics | 5 Bon Air Road, Ste. 105, Larkspur, CA 94939 | 2006-01-13 |
| 1609855121 | John Marshall Harvey | Pediatrics | 5 Bon Air Road, Ste. 105, Larkspur, CA 94939 | 2006-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760771901 | Benjamin Stahl | Surgery | Prima Medical Group, 5 Bon Air Road, #101, Larkspur, CA 94939 | 2011-03-28 |
| 1215100383 | Richard William Brenner | Psychiatry & Neurology | 980 Magnolia Ave, Ste 8, Larkspur, CA 94939 | 2008-04-09 |
| 1053584680 | Todd A Maderis | Acupuncturist | 1100 Larkspur Landing Cir #255, Larkspur, CA 94939 | 2008-04-03 |
| 1073709416 | Arundathi Shenoy Malladi | Internal Medicine | 2 Bon Air Rd., #150, Larkspur, CA 94939 | 2007-09-19 |
| 1386855567 | Katherine Louise Chick | Internal Medicine | 980 Magnolia Avenue, Suite 6a, Larkspur, CA 94939 | 2007-05-27 |
| 1639215148 | David W Rose | Chiropractor | 641 Magnolia Ave, #1, Larkspur, CA 94939 | 2007-01-30 |
| 1205988623 | Jay R Salzman | Dentist | 2200 Larkspur Landing Circle, Larkspur, CA 94939 | 2007-01-17 |
| 1497782585 | Katherine Manning | Physical Therapist | 2801larkspur Landing Circle, Larkspur, CA 94939 | 2006-06-26 |
| 1720067226 | Jan Ellen Maisel | Pediatrics | 5 Bon Air Road, Ste. 105, Larkspur, CA 94939 | 2006-01-12 |
| 1740267715 | Jacqueline Susanna Chan | Family Medicine | 1100 Larkspur Landing Circle #255, Larkspur, CA 94939 | 2005-12-29 |
| Find all providers in zip 94939 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 |
|---|---|---|---|---|
| 1760771901 | Benjamin Stahl | Surgery | Prima Medical Group, 5 Bon Air Road, #101, Larkspur, CA 94939 | 2011-03-28 |
| 1548741648 | Pacific Heart Surgery | Surgery | 2 Bon Air Rd Ste 100, Larkspur, CA 94939 | 2018-08-27 |
| 1396026399 | Prima Medical Foundation | Surgery | 5 Bon Air Rd, #117, Larkspur, CA 94939-1143 | 2011-09-02 |
| 1417169954 | James Minnis | Surgery | 5 Bon Air Rd, Suite 101, Larkspur, CA 94939-1143 | 2007-05-04 |
| 1790819613 | Keith F Korver Md A Professional Medical Corporation | Surgery | 2 Bon Air Rd, Ste 100, Larkspur, CA 94939-1144 | 2007-03-15 |
| 1912968868 | Kin Man Lai | Surgery | 2 Bon Air Rd, Suite #100, Larkspur, CA 94939-1141 | 2006-03-30 |
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|---|---|---|---|---|
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| 1295332823 | Vneo Medical Clinic Inc | Surgery | 6817 1/2 Kester Ave, Van Nuys, CA 91405-3716 | 2020-10-06 |
| 1619584497 | Prohealth Partners A Medical Group | Surgery | 3628 E Imperial Hwy Ste 303, Lynwood, CA 90262-2646 | 2020-09-25 |
| 1235744004 | Yvette Speight Md Inc | Surgery | 433 N Doheny Dr, Beverly Hills, CA 90210-5734 | 2020-09-09 |
| 1538786900 | Tdwo Inc | Surgery | 57445 29 Palms Hwy Ste 301, Yucca Valley, CA 92284-2947 | 2020-07-01 |
| 1003439746 | Howard Takiff | Surgery | 760 La Canada St, La Jolla, CA 92037-6724 | 2020-05-27 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1811517667 | John K Colwell | Surgery | 222 Hollywood Ave, Los Gatos, CA 95030 | 2020-04-22 |
| 1295361772 | William Robert Berry | Surgery | 5775 Del Cerro Blvd, San Diego, CA 92120-4513 | 2020-03-17 |
| 1497380638 | Bay Area Medical and Surgical Group, Inc. | Surgery | 490 Post St Ste 530, San Francisco, CA 94102-1412 | 2020-03-09 |
| Find all providers with the same taxonomy | ||||
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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.