DR. DAESOON LEEM


Address: 15095 Amargosa Rd, Bldg.1, #102, Victorville, CA 92394
Phone: 7605524470

DR. DAESOON LEEM (NPI# 1902289226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902289226
Entity Type Individual
Full Name DR. DAESOON LEEM
Credential M.D.
Practice Address 15095 Amargosa Rd, Bldg.1
#102
Victorville
CA 92394
Practice Telephone 7605524470
Practice Fax Number 7605524472
Mailing Telephone 7605524470
Mailing Fax Number 7605524472
Enumeration Date 2015-07-06
Last Update Date 2019-07-31
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QS0010X Family Medicine
Specialization: Sports Medicine
A155852 CA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1 University of New Mexico, Albuquerque, NM 871315238 2175458000
520 N 4th St, Springfield, IL 627025238 2175458000 2177471351

Office Location

Street Address 15095 AMARGOSA RD, BLDG.1
#102
City VICTORVILLE
State CA
Zip Code 92394

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NPI Name Taxonomy Address Enumeration
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1467000943 Tawanna Lasha Young Counselor 15095 Armargosa, Ste 208, Victorville, CA 92394 2019-08-28
1811543473 Silvano Gonzalez Transportation Broker 13767 Hidden Mesa Ct, Victorville, CA 92394 2019-08-09
1215442793 Yun Jung Choi Pharmacist 15318 Roy Rogers Dr., Victorville, CA 92394 2017-12-06
1770942914 Monica Castro Marriage & Family Therapist 15095 Armargosa Rd, 208, Victorville, CA 92394 2016-02-16
1093068322 City Taxi Taxi 14871 Totem Pole St, Victorville, CA 92394 2012-10-24
1467701318 Margarita Renee Ortega Counselor 16224 Tawney Ridge Lane, Victorville, CA 92394 2012-09-06
1326328584 Pro Line Transportation LLC Non-emergency Medical Transport (VAN) 10604 Karen Dr, Victorville, CA 92394 2011-08-19
1164604906 Maxim Healthcare Services, Inc. Home Health 15095 Amargosa Road, Suite 102, Victorville, CA 92394 2007-12-04
1730208927 Daisy Ann Ukonu Social Worker 14252 St Andrews Drive, Suite #5, Victorville, CA 92394 2007-03-28
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Taxonomy Information

Taxonomy Code 207QS0010X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Sports Medicine

Taxonomy Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.

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1114313616 Michelle Sriwongtong Family Medicine 834 Castro St, 3, San Francisco, CA 94114-2858 2015-04-10
1225433006 Harut Madatovian Family Medicine 2595 E Washington Blvd Ste 106, Pasadena, CA 91107-1409 2014-10-23
1760801880 Kyle William Meyer Family Medicine 24910 Las Brisas Rd Ste 105, Murrieta, CA 92562 2014-04-16
1720403553 Dianne Longo Family Medicine 1319 Evergreen Ave, Apt N2, Fullerton, CA 92835-2063 2014-03-03
1255760633 Steven William Marles Family Medicine 4265 Tapestry Way, Turlock, CA 95382-7448 2013-11-05
1497098909 Joshua David Sampson Family Medicine 2299 Post St Ste 107, San Francisco, CA 94115-3460 2013-04-03
1699015529 Andrew Saleh Family Medicine 1370 Rosecrans St Ste A, San Diego, CA 92106-2676 2013-03-01
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Competitor

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City VICTORVILLE
Zip Code 92394

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Dataset Information

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.

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