KYUNG AH LEE (NPI# 1972104453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972104453 |
| Entity Type | Individual |
| Full Name | KYUNG AH LEE |
| Practice Address |
9655 Monte Vista Ave Ste 405 Montclair CA 91763-2238 |
| Mailing Address |
236 Jensen Way Apt 4 Fullerton CA 92833-2954 |
| Practice Telephone | 9092300101 |
| Practice Fax Number | 9094051122 |
| Mailing Telephone | 5622903121 |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
95015267 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669987152 | Kyung J Lee | Acupuncturist | 735 Meadowbrook Dr, Mount Pleasant, MI 48858-9504 | 2017-12-06 |
| 1679921233 | Kyung Jae Lee | Chiropractor | 209 Elden St Ste 302, Herndon, VA 20170-4847 | 2016-05-24 |
| 1275928822 | Kyung Lee | Occupational Therapist | 12 Coventry Ct, Blue Bell, PA 19422-2517 | 2015-03-31 |
| 1902200801 | Kyung Lee | Acupuncturist | 602 Bolling Ave, Charlottesville, VA 22902-6122 | 2014-10-21 |
| 1356788244 | Kyung Hee Lee | Psychologist | 5701 8th Street Camp Parks, Dublin, CA 94568 | 2013-05-31 |
| 1609103357 | Kyung Yeol Lee | Acupuncturist | 1300 25th Ave Ste 100, San Francisco, CA 94122-1563 | 2009-11-17 |
| 1588835789 | Kyung Joo Lee | Dentist | 12734 Torrey Bluff Dr Apt 21, San Diego, CA 92130-4295 | 2008-03-14 |
| 1508048190 | Kyung Soo Lee | Dentist | 1311 E Belt Line Rd Ste 3, Carrollton, TX 75006-6279 | 2007-12-05 |
| 1275757254 | Kyung Sook Lee | Dentist | 1499 Se 1st Ave, Suite 101, Canby, OR 97013-6772 | 2007-04-12 |
| 1902974827 | Kyung Shin Lee | Social Worker | 1440 E. 1st. St., Ste. 100, Santa Ana, CA 92701 | 2006-11-30 |
| Street Address |
9655 MONTE VISTA AVE STE 405 |
| City | MONTCLAIR |
| State | CA |
| Zip Code | 91763-2238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174023857 | Saint Anne Medical Group Inc | Obstetrics & Gynecology | 9655 Monte Vista Ave Ste 405, Montclair, CA 91763-2238 | 2018-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194335760 | Cho Jeon Yun Dental Partnership | Dentist | 9655 Monte Vista Ave #406, Montclair, CA 91763 | 2020-08-07 |
| 1215498811 | Above Urgent Care Center | Emergency Medicine | 8891 N. Central Ave Ste A, Montclair, CA 91763 | 2019-03-27 |
| 1467936906 | Bronislava Kroulik | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763 | 2018-09-20 |
| 1063936110 | Monique Karina Enriquez | Licensed Vocational Nurse | 5580 Moreno St #82, Montclair, CA 91763 | 2017-07-31 |
| 1972961159 | Lacy Pinsky | Specialist/Technologist | 5035 Flora St., Montclair, CA 91763 | 2016-02-03 |
| 1912333790 | Cinta Hospice Care Inc | Hospice Care, Community Based | 5050 Palo Verde Street, Suite 101, Montclair, CA 91763 | 2013-09-24 |
| 1720334626 | Priority One Hospice, Inc. | Hospice Care, Community Based | 4959 Palo Verde St Ste 107c, Montclair, CA 91763 | 2012-07-28 |
| 1689982498 | Paulina Trujillo Perez | Counselor | 9916 Central Ave., Montclair, CA 91763 | 2010-09-15 |
| 1982846499 | Esther Phillips Agepogu | Physician Assistant | 9301 Central Ave., Montclair, CA 91763 | 2009-03-30 |
| 1568633139 | Mahin Nosrati-jahromi | Dentist | 9509 Central Ave #d, Montclair, CA 91763 | 2008-03-21 |
| Find all providers in zip 91763 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738782 | Peninsula Healthcare Center | Nurse Practitioner | 22330 Hawthorne Blvd Ste 208, Torrance, CA 90505-2536 | 2020-10-25 |
| 1710584008 | Venessa Beck | Nurse Practitioner | 903 Cardiff St, San Diego, CA 92114-5019 | 2020-10-08 |
| 1053918094 | Janel Nicole Sanglerat | Nurse Practitioner | 416 Aviation Blvd, Santa Rosa, CA 95403-1032 | 2020-10-02 |
| 1790382760 | Christopher Tran | Nurse Practitioner | 11441 Heacock St Ste F, Moreno Valley, CA 92557-7907 | 2020-10-02 |
| 1487266292 | Mollie Shira Hudson | Nurse Practitioner | 14 Whitmore Pl Apt 15, Oakland, CA 94611-4635 | 2020-08-21 |
| 1962014381 | Mario Javier Herrera | Nurse Practitioner | 2130 High Pointe Dr, Apt 108, Corona, CA 92879 | 2020-08-18 |
| 1952912131 | Norman Ivan Kier | Nurse Practitioner | 3834 Edison Ave, Sacramento, CA 95821-2728 | 2020-08-12 |
| 1942811377 | Thanhan Mathews | Nurse Practitioner | 114 W Cameron St Apt B, Hanford, CA 93230-2965 | 2020-08-10 |
| 1972113355 | Marine Mary Kademyan | Nurse Practitioner | 6528 Babcock Ave, North Hollywood, CA 91606 | 2020-07-31 |
| 1245849645 | Shannon Pereira | Nurse Practitioner | 2368 Honeysuckle Way, Hemet, CA 92545-4796 | 2020-07-31 |
| 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.