BUM SOO LEE (NPI# 1780709253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780709253 |
| Entity Type | Organization |
| Organization Name | BUM SOO LEE |
| Practice Address |
1020 S Anaheim Blvd Anaheim CA 92805-5851 |
| Mailing Address |
179 S Peralta Hills Dr Anaheim CA 92807-3424 |
| Practice Telephone | 7142700684 |
| Practice Fax Number | 7149996686 |
| Mailing Telephone | 7149747368 |
| Mailing Fax Number | 7149996686 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. BUM SOO LEE (STAFF PSYCHIATRIST) |
| Authorized Official Telephone | 7142790684 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | Hospitals |
| Street Address |
1020 S ANAHEIM BLVD |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92805-5851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174504138 | Carolyn Anne Mottola | Psychologist | 1020 S Anaheim Blvd, Suite 215, Anaheim, CA 92708 | 2005-11-08 |
| 1841658291 | Natalie Anne Bader | Social Worker | 1020 S Anaheim Blvd, Suite 215, Anaheim, CA 92805-5851 | 2016-01-31 |
| 1619355500 | Anaheim Care Pharmacy Inc | Pharmacy | 1020 S Anaheim Blvd, Suite 106, Anaheim, CA 92805-5851 | 2015-05-11 |
| 1316331887 | Sunghye Med Corp | Psychiatric Residential Treatment Facility | 1020 S Anaheim Blvd, Suite 209, Anaheim, CA 92805-5851 | 2015-03-23 |
| 1235549262 | Mi Familia Nursing PC | Nurse Practitioner | 1020 S Anaheim Blvd, Suite 208, Anaheim, CA 92805-5851 | 2014-04-29 |
| 1245540475 | J.a.l. Santos M.d. Inc | Clinic/Center | 1020 S Anaheim Blvd, Suite 220, Anaheim, CA 92805-5851 | 2010-10-21 |
| 1689987521 | Pravin J Kansagra Md Inc | Clinic/Center | 1020 S Anaheim Blvd, Suite 215, Anaheim, CA 92805-5851 | 2010-07-21 |
| 1619100260 | Advanced Research Center, Inc. | Psychologist | 1020 S Anaheim Blvd, #316, Anaheim, CA 92805-5851 | 2009-08-31 |
| 1821118472 | Gregory Lwinthet Chan | Obstetrics & Gynecology | 1020 S Anaheim Blvd, Ste #101, Anaheim, CA 92805-5807 | 2007-03-29 |
| 1639243769 | Jose C. Gamboa, M.d., Inc. | Psychiatry & Neurology | 1020 S Anaheim Blvd, Suite 214, Anaheim, CA 92805-5851 | 2006-11-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841840097 | Jesus Jaime Rodriguez | Technician | 805 N. Pauline St., Anaheim, CA 92805 | 2019-09-18 |
| 1225680994 | Michael Cross | Counselor | 710 N. Anaheim Blvd Anaheim, Ca 92805, 710 N.anaheim Blvd, Anaheim, CA 92805 | 2019-07-12 |
| 1588123459 | Dania Jesri | Behavior Technician | 300 N Avelia Way, Anaheim, CA 92805 | 2019-03-19 |
| 1346708872 | Tiffany Chauvet | Behavior Technician | 1300 East Orangewood Ave, Anaheim, CA 92805 | 2019-03-04 |
| 1972087740 | Jehanzeb Shahab Khairi | Behavior Technician | 3101 E Orangewood Ave, Anaheim, CA 92805 | 2018-09-18 |
| 1033693825 | Baotran Minh Le | Behavior Technician | 3101 E. Orangewood Ave., Anaheim, CA 92805 | 2018-09-18 |
| 1841778354 | Jonathan Besuamlak | Behavior Technician | 1301 E. Orangewood Ave., Anaheim, CA 92805 | 2018-08-06 |
| 1700364973 | Erica Vanderlinden | Behavioral Analyst | 1301 East Orangewood Avenue, Anaheim, CA 92805 | 2018-07-31 |
| 1578054391 | Us Care Transportation LLC | Non-emergency Medical Transport (VAN) | 248 S Seneca Cir, Anaheim, CA 92805 | 2018-05-29 |
| 1578081691 | Christopher Mills | Counselor | 1025 S. Anaheim Blvd, Anaheim, CA 92805 | 2017-09-08 |
| Find all providers in zip 92805 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720351760 | Fancoc Inc | Psychiatric Hospital | 1025 S Anaheim Blvd, Anaheim, CA 92805-5806 | 2012-02-22 |
| 1104196823 | F.a.n.c.o.c | Psychiatric Hospital | 1025 S Anaheim Blvd, Anaheim, CA 92805-5806 | 2012-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740892017 | Avamed Inc. | Psychiatric Hospital | 12955 Riverside Dr Apt 204, Sherman Oaks, CA 91423-2202 | 2020-08-18 |
| 1437769957 | North Valley Behavioral Health, LLC | Psychiatric Hospital | 1253 Stabler Lane, Yuba City, CA 95993 | 2020-08-10 |
| 1811549504 | Sacramento Behavioral Healthcare Hospital, LLC | Psychiatric Hospital | 1400 Expo Pkwy, Sacramento, CA 95815-4230 | 2019-07-12 |
| 1932603990 | Central Star Behavioral Health, Inc. | Psychiatric Hospital | 496 South Barton Ave, Fresno, CA 93750-0001 | 2018-03-22 |
| 1639601933 | Restpadd Health Corp | Psychiatric Hospital | 925 Walnut St, Red Bluff, CA 96080-3707 | 2017-03-28 |
| 1790223790 | Adrian Zamora | Psychiatric Hospital | 1569 Michael Place, Porterville, CA 93257 | 2017-02-09 |
| 1558812404 | Sonnia A. Ahinasi | Psychiatric Hospital | 4192 Via Napoli, Montclair, CA 91763-4750 | 2016-10-16 |
| 1316399660 | Itzel Lopez | Psychiatric Hospital | 1869 Lombard St, San Francisco, CA 94123-2909 | 2016-07-11 |
| 1770931032 | Ruby Lorraine Summus | Psychiatric Hospital | 4111 Jonathon St, Oceanside, CA 92056-4217 | 2016-05-27 |
| 1760841126 | County of Los Angeles | Psychiatric Hospital | 5800 South St Apt 163, Lakewood, CA 90713-1331 | 2016-02-15 |
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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.