DR. CHARLES DUDLEY LEE (NPI# 1902013915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902013915 |
| Entity Type | Individual |
| Full Name | DR. CHARLES DUDLEY LEE |
| Credential | MD |
| Practice Address |
16643 Maverick Ln Poway CA 92064-1613 |
| Practice Telephone | 8312068547 |
| Mailing Telephone | 8312068547 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2009-08-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME79369 | FL | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
G23095 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275164097 | Charles L Lee II | Behavioral Analyst | 31194 Millbury Dr, Menifee, CA 92584-6617 | 2020-01-30 |
| 1043670854 | Charles Lee | Social Worker | 6654 Gilbert Pl, Shreveport, LA 71106-3425 | 2016-03-07 |
| 1245577212 | Charles Clifton Lee | Pharmacist | 1824 Hardman Ln, Woodstock, GA 30188-3103 | 2013-01-11 |
| 1336492891 | Charles J Lee | Dentist | 5005 N Piedras St Bldg 128, Dentac, El Paso, TX 79920-5001 | 2012-10-22 |
| 1306143847 | Charles Lee | Dentist | 7477 W Lake Mead Blvd, Ste 106, Las Vegas, NV 89128 | 2011-02-18 |
| 1003032061 | Charles C Lee | Dentist | 342 S Broadway, Escondido, CA 92025-4207 | 2007-04-18 |
| 1629115779 | Charles Mack Lee | Home Health Aide | 3919 E 147th St, Cleveland, OH 44128-1082 | 2007-01-30 |
| 1821143538 | Charles Churlmin Lee | Anesthesiology | 1711 Livingston Rd, Fort Meade, MD 20744 | 2007-01-24 |
| 1770645681 | Charles C Lee | Chiropractor | 20 E Northwest Hwy, Mt Prospect, IL 60056-3223 | 2006-12-15 |
| 1154436749 | Charles Edward Lee IIi | Dentist | 7380 Spout Springs Road, Suite 120, Flowery Branch, GA 30542 | 2006-08-21 |
| Street Address |
16643 MAVERICK LN |
| City | POWAY |
| State | CA |
| Zip Code | 92064-1613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194357384 | Prabha Choudhary | Student in an Organized Health Care Education/Training Program | 17555, Corte Lomas Verdes, Poway, CA 92064 | 2020-02-06 |
| 1770143968 | Theresa Marie Morales | In Home Supportive Care | 15352 Running Deer Trl, Poway, CA 92064 | 2019-06-19 |
| 1689230997 | Jaclyn Miller | Audiologist | Health Medical Group, 15525 Pomerado Road Suite C-1, Poway, CA 92064 | 2019-05-13 |
| 1205306842 | Angelita Fuentes | Behavior Technician | 12975 Brookprinter Place Suite 250, Poway, CA 92064 | 2018-11-27 |
| 1396235271 | Michael Cutler, M.d., P.C. | Clinic/Center | 12285 Scripps Poway Pkwy Ste 103, Poway, CA 92064 | 2018-05-16 |
| 1720576671 | Jodi A Mcgrady Dmd, Ms, Adc | Dentist | 12350 Oak Knoll Rd, Poway, CA 92064 | 2018-04-26 |
| 1295237139 | Michelle J. Beaupre | Social Worker | 204 Poway Rd., Poway, CA 92064 | 2018-03-07 |
| 1669918165 | Restore Detox Centers | Substance Abuse Rehabilitation Facility | 14099 Sky Mountain Trail, Poway, CA 92064 | 2017-01-09 |
| 1205382561 | Nightingale Meyou | Pharmacist | 5615 Pomerado Rd, Poway, CA 92064 | 2016-08-28 |
| 1578017232 | Elan Lee | Dentist | 13035 Pomerado Road Suite B, Poway, CA 92064 | 2016-08-11 |
| Find all providers in zip 92064 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407175771 | Remote Diagnostic Interpreters PC | Radiology | 14378 Harvest Crescent, Poway, CA 92064-2370 | 2010-05-25 |
| 1891010120 | Michael Chien-yu Lin | Radiology | 13915 Danielson St, Suite 200, Poway, CA 92064-8884 | 2010-03-30 |
| 1821036351 | Advanced Radiology Conultants, A Medical Corporation | Radiology | 13518 Willow Run Rd, Poway, CA 92064-1734 | 2006-06-04 |
| 1720322894 | Stat Radiology Medical Corporation | Radiology | 13915 Danielson St, Suite 200, Poway, CA 92064-8884 | 2012-11-15 |
| 1730432972 | San Diego Diagnostic Radiology Medical Group, Inc. | Radiology | 15611 Pomerado Rd, Poway, CA 92064-2437 | 2012-10-25 |
| 1184665937 | Ronald M Sokoloff | Radiology | 13518 Willow Run Rd, Poway, CA 92064-1734 | 2006-06-10 |
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| 1003415613 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 38925 Trade Center Dr Unit E, Palmdale, CA 93551-3655 | 2020-10-23 |
| 1083213151 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 44105 15th St W Ste 100, Lancaster, CA 93534-4090 | 2020-10-20 |
| 1750980967 | Centrelake Medical Group Inc | Radiology | 430 W Stetson Ave, Hemet, CA 92543-7328 | 2020-10-19 |
| 1538775994 | Richard J. Moran | Radiology | 230 S Main St Ste 101, Orange, CA 92868-3851 | 2020-09-21 |
| 1417567710 | Family Medical Diagnostics Inc | Radiology | 19231 Victory Blvd Ste 356, Reseda, CA 91335-6308 | 2020-08-03 |
| 1396365011 | Prodiagnose Inc | Radiology | 7345 Topanga Canyon Blvd # 210, Canoga Park, CA 91303-1244 | 2020-04-22 |
| 1548892276 | Alvarado Radiology Group Inc, A Professional Corporation | Radiology | 13700 Marina Pointe Dr Unit 430, Marina Del Rey, CA 90292-9277 | 2020-02-11 |
| 1710518535 | Health Diagnostics of California A Professional Corporation | Radiology | 1690 Barton Rd Ste 107, Redlands, CA 92373-4230 | 2020-01-30 |
| 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.