ELMO SHIN LEE (NPI# 1811215353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811215353 |
| Entity Type | Individual |
| Full Name | ELMO SHIN LEE |
| Credential | M.D. |
| Practice Address |
82485 Miles Ave Indio CA 92201-4249 |
| Practice Telephone | 7603474347 |
| Practice Fax Number | 7603427829 |
| Mailing Telephone | 7603474347 |
| Mailing Fax Number | 7603427829 |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2010-05-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
G64810 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
82485 MILES AVE |
| City | INDIO |
| State | CA |
| Zip Code | 92201-4249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831460 | Natalie N Vale I | Peer Specialist | 82485 Miles Ave, Indio, CA 92201-4249 | 2020-11-04 |
| 1629613625 | Sid Villalobos | Case Manager/Care Coordinator | 82485 Miles Ave, Indio, CA 92201-4249 | 2019-11-13 |
| 1083259667 | Veronica Alvarez | Peer Specialist | 82485 Miles Ave, Indio, CA 92201-4249 | 2019-11-07 |
| 1598309148 | Regina Wright | Peer Specialist | 82485 Miles Ave, Indio, CA 92201-4249 | 2019-11-06 |
| 1548816853 | Gabriel Antonio Peralta Jr. | Peer Specialist | 82485 Miles Ave, Indio, CA 92201-4249 | 2019-08-13 |
| 1639725120 | Gladys Alvarez | Peer Specialist | 82485 Miles Ave, Indio, CA 92201-4249 | 2019-08-12 |
| 1821643842 | Marlene Jimenez Montoya | Peer Specialist | 82485 Miles Ave, Indio, CA 92201-4249 | 2019-08-06 |
| 1669027827 | Leanna Mckeough | Licensed Vocational Nurse | 82485 Miles Ave, Indio, CA 92201-4249 | 2019-08-05 |
| 1922508233 | Recovery Innovations, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 82485 Miles Ave, Indio, CA 92201-4249 | 2018-02-14 |
| 1629387121 | Lisa Marquez | Registered Nurse | 82485 Miles Ave, Indio, CA 92201 | 2010-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174151534 | Kayla Marie Berry | Licensed Vocational Nurse | Telecare Riverside County Psychiatric Health Facility, Indio, CA 92201 | 2020-03-31 |
| 1699327353 | Nawar Hadid | Dentist | 81735 Ca-111, Indio, CA 92201 | 2019-07-12 |
| 1427521889 | Thanh Trang Thi Nguyen Md Inc | Internal Medicine | 44100 Jefferson St., #e507, Indio, CA 92201 | 2019-01-09 |
| 1306328315 | Grant Nishimura | Dentist | 81-637, Suite 1, Ca-111, Indio, CA 92201 | 2018-09-06 |
| 1700363645 | Desert Physical Medicine | General Practice | 81765 Highway 111, Ste #3, Indio, CA 92201 | 2018-07-24 |
| 1336668151 | U & I Care Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 44105 Jackson St Ste 204, Indio, CA 92201 | 2017-09-13 |
| 1154847234 | Myung Kee Park | Dentist | 81106 Ca-111, #c, Indio, CA 92201 | 2017-08-21 |
| 1912434937 | Mirage Home Health | Home Health | 82691 Miles Ave, Indio, CA 92201 | 2017-05-22 |
| 1497294821 | Orthopedic and Physical Medicine Associates Inc | Chiropractor | 81765 Hwy 111, #3, Indio, CA 92201 | 2017-02-17 |
| 1497103758 | Timothy Smith | Contractor | 81337 Avenida Romero, Indio, CA 92201 | 2016-05-27 |
| Find all providers in zip 92201 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033267166 | Daniel Dean Anderson | Psychiatry & Neurology | 47915 Oasis St Ste C, Indio, CA 92201-6950 | 2007-01-08 |
| 1225335771 | Michael John Brase | Psychiatry & Neurology | 47825 Oasis St, Indio, CA 92201-6950 | 2011-02-18 |
| 1295912426 | Diana L. Kallis | Psychiatry & Neurology | 47825 Oasis St, Indio, CA 92201-6950 | 2008-01-30 |
| 1194944736 | Phill Victor Halamandaris | Psychiatry & Neurology | 47825 Oasis St, Indio Mental Health Clinic, Indio, CA 92201-6950 | 2007-04-24 |
| 1598825382 | Michael Farell Massa | Psychiatry & Neurology | 47825 Oasis St, Riverside County Dept. of Mental Health, Indio, CA 92201 | 2006-12-11 |
| 1598852998 | Roberto Paras Cabugao Jr. | Psychiatry & Neurology | 47825 Oasis St, Indio, CA 92201-6950 | 2006-10-06 |
| 1205921749 | Richard Duboe Seigle | Psychiatry & Neurology | 47825 Oasis St., Indio, CA 92201 | 2006-10-03 |
| 1992801799 | Marcia Dean Hudson | Psychiatry & Neurology | 47825 Oasis St, Indio, CA 92201-6950 | 2006-09-16 |
| 1790881381 | Chun Che Lai | Psychiatry & Neurology | 47825 Oasis St, Indio, CA 92201-6950 | 2006-09-15 |
| 1548363468 | Todd A Dawson | Psychiatry & Neurology | 47825 Oasis St, Indio, CA 92201-6950 | 2006-09-06 |
| Find all providers in INDIO | ||||
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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.