DR. PATRICK KEVIN LEE (NPI# 1679566335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679566335 |
Entity Type | Individual |
Full Name | DR. PATRICK KEVIN LEE |
Credential | M.D. |
Practice Address |
13420 Newport Ave Suite G Tustin CA 92780-3745 |
Practice Telephone | 7147310061 |
Practice Fax Number | 7147310164 |
Mailing Telephone | 7147310061 |
Mailing Fax Number | 7147310164 |
Enumeration Date | 2005-08-29 |
Last Update Date | 2012-02-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207N00000X | Dermatology | G74804 | CA | Allopathic & Osteopathic Physicians |
Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
G74804 | CA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154811297 | Patrick Lee | Technician/Technologist | 18203 S. Western Ave Ste. 102, Torrance, CA 90248 | 2018-05-15 |
1477800977 | Patrick Shannon Lee | Physician Assistant | Attn: Tammie Silva, 1340 Hal Greer Boulevard, Huntington, WV 25701-3800 | 2012-08-14 |
1992091532 | Patrick Lee | Behavioral Analyst | 674 Sw 12th St, Moore, OK 73160-2765 | 2011-06-22 |
1942465968 | Patrick Shuenchung Lee | Optometrist | 18045 Magnolia St, Fountain Valley, CA 92708-5638 | 2008-07-21 |
1699954065 | Patrick Lee | Radiology | 470 University Ave, Palo Alto, CA 94301-1812 | 2007-11-01 |
1922213305 | Patrick Hammill Lee | Dentist | 107 Caledonia Street, Suite I, Sausalito, CA 94965 | 2007-05-11 |
1568091809 | Patrick Christopher Lee | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Ste 5512, West Hollywood, CA 90048-1804 | 2020-04-08 |
1497390454 | Patrick Jackson Lee | Counselor | 7514 N Mo Pac Expy Ste 100, Austin, TX 78731-3168 | 2019-11-14 |
1013476126 | Patrick Lee | Student in an Organized Health Care Education/Training Program | 1200 N State Street, Clinic Tower, Suite A7d, Los Angeles, CA 90033-1029 | 2019-03-18 |
1487134417 | Patrick Lee | Case Manager/Care Coordinator | 460 Briarwood Dr Ste 510, Jackson, MS 39206-3057 | 2018-08-20 |
Street Address |
13420 NEWPORT AVE SUITE G |
City | TUSTIN |
State | CA |
Zip Code | 92780-3745 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730624735 | Noha Nour Dds Inc | Dentist | 13420 Newport Ave, Suite A, Tustin, CA 92780-3745 | 2016-12-29 |
1619240637 | Patrick K. Lee, M.d., Inc. | Dermatology | 13420 Newport Ave, Suite G, Tustin, CA 92780-3745 | 2012-02-22 |
1962729269 | Ronald Cotliar Md Inc | Dermatology | 13420 Newport Ave, Suite G, Tustin, CA 92780-3745 | 2010-04-26 |
1427218288 | Newport Medical Care | Family Medicine | 13420 Newport Ave, Suite D, Tustin, CA 92780-3745 | 2008-06-13 |
1083803183 | Shiva Roghani | Dentist | 13420 Newport Ave, Suite B, Tustin, CA 92780-3745 | 2007-10-15 |
1801099445 | Robert Earl Dreibelbis | General Practice | 13420 Newport Ave, Suite # D, Tustin, CA 92780 | 2007-06-11 |
1598980344 | John Richard Ennen | Chiropractor | 13420 Newport Ave, Ste.k, Tustin, CA 92780-3745 | 2007-04-16 |
1720157308 | Masaharu Sasaki | Chiropractor | 13420 Newport Ave, Suite E, Tustin, CA 92780-3745 | 2006-11-07 |
1639255961 | Ginnie I Chen | Dentist | 13420 Newport Ave, #l, Tustin, CA 92780 | 2006-10-30 |
1609960517 | John Bruce Warner | Dentist | 13420 Newport Ave, Suite A, Tustin, CA 92780-3745 | 2006-10-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437780947 | John Michael Michael | Pharmacist | 14481 Wildeve Ln, Tustin, CA 92780 | 2020-02-03 |
1609426881 | Abigail Joy Maqsood | Behavior Technician | 290a S Prospect Ave, Tustin, CA 92780 | 2019-09-19 |
1255814711 | Hyun Dong Lee | Chiropractor | 14591 Newport Ave Ste 106, Tustin, CA 92780 | 2018-09-11 |
1346733573 | Elizabeth Kim Nguyen Dds Inc | Clinic/Center | 14521 Red Hill Ave, Tustin, CA 92780 | 2018-06-12 |
1255829503 | Hw Physical Therapy | Physical Therapist | 250 El Camino Real Ste 100, Tustin, CA 92780 | 2018-04-23 |
1912494352 | Gary Wayne Mcbeath | Marriage & Family Therapist | 17821 E 17th Street, Suite # 260, Tustin, CA 92780 | 2018-04-20 |
1104334598 | Catherine Bogues | Speech-Language Pathologist | 661 West 1st Street, Suite E, Tustin, CA 92780 | 2018-01-19 |
1972019941 | Lighthouse Behavioral Solutions | Behavioral Analyst | 18002 Irvine Blvd., Suite 202c, Tustin, CA 92780 | 2017-12-28 |
1629597299 | Lifecab, LLC | Non-emergency Medical Transport (VAN) | 13732 Newport Ave, Suite #1, Tustin, CA 92780 | 2017-09-14 |
1437606555 | Tustin Speech Therapy, Inc. | Speech-Language Pathologist | 661 West First Street, Suite E, Tustin, CA 92780 | 2016-09-07 |
Find all providers in zip 92780 |
Taxonomy Code | 207ND0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | MOHS-Micrographic Surgery |
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578173936 | Mill Valley Dermatology, Inc | Dermatology | 655 Redwood Hwy Frontage Rd Ste 100, Mill Valley, CA 94941-3031 | 2020-07-31 |
1710508874 | Zhe Hou, M.d., Ph.d., A Professional Corporation | Dermatology | 3000 E Imperial Hwy Ste 150, Brea, CA 92821-6782 | 2020-04-29 |
1073152112 | Agape Dermatology PC | Dermatology | 18800 Main St Ste 111, Huntington Beach, CA 92648-1717 | 2020-01-06 |
1497392492 | Pacifica Dermatology | Dermatology | 2460 N Ponderosa Dr Ste A117, Camarillo, CA 93010-2468 | 2019-12-09 |
1518447689 | Razieh Soltani Arabshahi Md Inc | Dermatology | 960 E Green St Ste 330, Pasadena, CA 91106-2401 | 2018-08-18 |
1811497928 | Laca Dermatology, Inc | Dermatology | 4955 Van Nuys Blvd Ste 516, Sherman Oaks, CA 91403-1832 | 2018-02-15 |
1427509959 | Northern California Medical Assoc Inc | Dermatology | 555 S Dora St Ste B, Ukiah, CA 95482-5424 | 2016-10-19 |
1376091553 | Integrated Dermatology of Mission Viejo, Apmc | Dermatology | 26691 Plaza Ste 230, Mission Viejo, CA 92691-6300 | 2016-09-15 |
1164835518 | Laila Elkeeb, M.d., Inc | Dermatology | 242 Wicker, Irvine, CA 92618-1170 | 2014-06-03 |
1518303924 | Christine Shaver | Dermatology | 1301 20th St Ste 570, Santa Monica, CA 90404-2118 | 2013-05-13 |
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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.