HONG SEOK LEE (NPI# 1750767273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750767273 |
| Entity Type | Individual |
| Full Name | HONG SEOK LEE |
| Credential | M.D. |
| Practice Address |
2101 N Waterman Ave Medical Staff Office San Bernardino CA 92404 |
| Mailing Address |
2101 N Waterman Ave Medical Staff Office San Bernardino CA 92404-4836 |
| Practice Telephone | 9542901746 |
| Mailing Telephone | 9542901746 |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2020-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers | ||
| N | 207R00000X | Internal Medicine | A143427 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| THE MEDICAL BOARD OF CALIFORNIA | A143427 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073010427 | Hong Seok Lee | Clinic/Center | 6217 S Western Ave, Oklahoma City, OK 73139-1605 | 2018-04-11 |
| Street Address |
2101 N WATERMAN AVE MEDICAL STAFF OFFICE |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992797153 | Young A Suk | Anesthesiology | 2101 N Waterman Ave, San Bernardino, CA 92404-4836 | 2005-08-15 |
| 1467077016 | Melissa Magdangal | Occupational Therapist | 2101 N Waterman Ave, San Bernardino, CA 92404-4836 | 2020-06-10 |
| 1902433303 | Ariel Chen | Physician Assistant | 2101 N Waterman Ave, San Bernardino, CA 92404-4836 | 2020-03-25 |
| 1417581059 | Western Acute Care Surgeons Inc | Surgery | 2101 N Waterman Ave, San Bernardino, CA 92404-4836 | 2020-02-22 |
| 1538704234 | Michelle Dela Cruz Villanueva | Occupational Therapist | 2101 N Waterman Ave, San Bernardino, CA 92404-4836 | 2019-11-17 |
| 1750943668 | Benjamin Arthur Rinard | Physician Assistant | 2101 N Waterman Ave, San Bernardino, CA 92404-4836 | 2019-07-01 |
| 1679132955 | Louis Gallo | Physician Assistant | 2101 N Waterman Ave, San Bernardino, CA 92404-4836 | 2019-06-10 |
| 1154984706 | Antonio Moreno | Anesthesiology | 2101 N Waterman Ave, San Bernardino, CA 92404-4836 | 2019-04-18 |
| 1003378944 | Miranda G Ideal | Nurse Anesthetist, Certified Registered | 2101 N Waterman Ave, San Bernardino, CA 92404-4836 | 2019-04-01 |
| 1225599780 | Kylie Brenna Leeper | Dietitian, Registered | 2101 N Waterman Ave, San Bernardino, CA 92404-4836 | 2019-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740849363 | Danniella Alexandra Murillo | Physician Assistant | 2101 North Waterman Ave, San Bernardino, CA 92404 | 2019-06-07 |
| 1902377484 | Shauntel Renee Nelson | Student in an Organized Health Care Education/Training Program | 1481 N. Windsor Dr., San Bernardino, CA 92404 | 2018-12-10 |
| 1487123584 | Garrett M Grigg | Licensed Psychiatric Technician | 1481 N Windsor Dr, San Bernardino, CA 92404 | 2018-11-19 |
| 1881163434 | James Dean Anders | Counselor | 1481 Windsor Drive, San Bernardino, CA 92404 | 2018-11-13 |
| 1043703564 | Samantha Makpaiboonvatana | Optometrist | 1909 N Waterman Ave Ste 3, San Bernardino, CA 92404 | 2018-06-09 |
| 1861981623 | Christopher Windham | Behavior Technician | 2460 Fremontia Dr, San Bernardino, CA 92404 | 2018-05-08 |
| 1891145041 | Cynthia Lusy Gastelum | Marriage & Family Therapist | 1885 E Lynwood Dr Rm Se3, San Bernardino, CA 92404 | 2016-06-20 |
| 1336598259 | Foundation Enterprises LLC | Non-emergency Medical Transport (VAN) | 1663 Date Pl., #30390, San Bernardino, CA 92404 | 2016-06-10 |
| 1881042877 | Helen Ann Thompson | Speech-Language Pathologist | 1311 E. State St., San Bernardo, CA 92404 | 2016-05-31 |
| 1366839938 | Lanecia Richardson | Counselor | 135 Paul Drive, San Rafeal, CA 92404 | 2015-04-22 |
| Find all providers in zip 92404 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689031528 | Inland Empire Autism Spectrum Disorder Assessment Center of Excellence | Specialist | 1499 S Tippecanoe Ave, Building A, San Bernardino, CA 92415-0024 | 2016-01-22 |
| 1497046361 | Kaylene R Carr | Specialist | 1800 N. Western Ave Ste 204, San Bernardino, CA 92411-1353 | 2011-04-27 |
| 1982912267 | Valley Physical Therapy | Specialist | 688 N Arrowhead Ave Ste 101b, San Bernardino, CA 92401-1144 | 2010-09-20 |
| 1912183955 | Edward J Puttre Jr. | Specialist | 1800 Western Ave Ste 101, San Bernardino, CA 92411-1352 | 2008-01-19 |
| 1952462699 | Jim Parker Ferguson | Specialist | 1255 E Highland Avenue, Suite 108, San Bernardino, CA 92404 | 2006-12-13 |
| 1467513739 | Franklin M Chu Md Inc | Specialist | 489 E 21st Street, San Bernardino, CA 92404 | 2006-12-12 |
| 1043398282 | Hendrik Johannes De Jager | Specialist | 1850 S Waterman Ave, Suite A, San Bernardino, CA 92408-2852 | 2006-11-02 |
| 1639256647 | Neveen Tadros | Specialist | 150 Carousell Mall, San Bernardino, CA 92415-0001 | 2006-11-01 |
| 1356422935 | Nenita F. Iturzaeta M.d., Inc. | Specialist | 850 W Highland Ave, Suite A, San Bernardino, CA 92405-3855 | 2006-10-18 |
| 1356437099 | Luke I-jen Hsiao | Specialist | 756 E Highland Ave, San Bernardino, CA 92404-4005 | 2006-10-04 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92404 |
Please comment or provide details below to improve the information on HONG SEOK 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.