JUSTIN THIEN LEE (NPI# 1104913425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104913425 |
| Entity Type | Individual |
| Full Name | JUSTIN THIEN LEE |
| Credential | M.D. |
| Practice Address |
500 Old River Rd Ste 200 Bakersfield CA 93311 |
| Mailing Address |
Po Box 2287 Bakersfield CA 93303-2287 |
| Practice Telephone | 6616636429 |
| Practice Fax Number | 6616636041 |
| Mailing Telephone | 6613240300 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2019-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
A95245 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699331702 | Justin Youngzi Lee | Student in an Organized Health Care Education/Training Program | University of New Mexico - Neurosurgery, Albuquerque, NM 87131-0001 | 2019-05-14 |
| 1497214985 | Justin Young Lee | Registered Nurse | 143-23 38th Ave, Apt 2c, Flushing, NY 11354 | 2019-03-14 |
| 1669963484 | Justin Mark Lee | Physical Therapist | 277 Wilshire Ave, Daly City, CA 94015-1037 | 2018-05-29 |
| 1861752792 | Justin Mcavoy Lee | Speech-Language Pathologist | 145 Summerfield Rd, Shelburne, VT 05482-7818 | 2012-05-25 |
| 1790941391 | Justin Lee | Surgery | 24a Winship St, Brighton, MA 02135-3312 | 2008-08-03 |
| 1740486232 | Justin Lee | Chiropractor | 18904 Highway 99 Ste Q, Lynnwood, WA 98036-5219 | 2007-06-22 |
| 1881616332 | Justin S Lee | Dentist | 3250 14th Ave Nw Ste A, Olympia, WA 98502-8546 | 2006-07-24 |
| 1225078579 | Justin Cheuk-fun Lee | Internal Medicine | 209 Mlk Jr Way, Department of Cardiology, Tacoma, WA 98405 | 2006-06-07 |
| 1366062721 | Justin Lee | Pharmacist | 3487 N Stockton Hill Rd, Kingman, AZ 86409-3681 | 2020-04-25 |
| 1659990638 | Justin Lee | Student in an Organized Health Care Education/Training Program | 3 Erie Ct Ste L700, Oak Park, IL 60302-2519 | 2020-04-10 |
| Street Address |
500 OLD RIVER RD STE 200 |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487140869 | Justin Thien Lee, Md Inc | Clinic/Center | 500 Old River Rd Ste 200, Bakersfield, CA 93311-9505 | 2018-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104469030 | Bk New Age. Inc. | Internal Medicine | 11703 Privet Pl, Bakersfield, CA 93311 | 2019-10-23 |
| 1245713197 | Brandon Mccullough | Dentist | 11120 Stockdale Hwy, #103, Bakersfield, CA 93311 | 2018-09-06 |
| 1871001602 | Centric Health | Internal Medicine | 4531 Buena Vista Rd, Bakersfield, CA 93311 | 2018-01-15 |
| 1518484971 | Alexandria Noelle Wilson | Specialist/Technologist | 9800 Green Oak Pl, Bakersfield, CA 93311 | 2017-08-26 |
| 1477093169 | Vishnu Patel | Pharmacist | 11500 Wakehurst Ct, Bakersfield, CA 93311 | 2017-03-01 |
| 1487102364 | Christina Lewis | Nurse Practitioner | 9900 Stockdale Hwy Ste 203, Bakersfield, CA 93311 | 2016-09-20 |
| 1629424866 | New Horizon Surgical Center, LLC | Clinic/Center | 4500 Trade Center Drive, Bakersfield, CA 93311 | 2016-05-06 |
| 1316300767 | Ellen Mccrary | Optometrist | 9000 Ming Ave Ste L1-b, Bakersfield, CA 93311 | 2016-04-02 |
| 1083076764 | Pratik Patel | Dentist | 8701 Camino Media Ste A, Bakersfield, CA 93311 | 2016-03-22 |
| 1194196832 | Providence Medical Group | General Acute Care Hospital | 1806 Wadsworth Avenue, Bakersfield, CA 93311 | 2015-10-07 |
| Find all providers in zip 93311 | ||||
| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225503618 | Women's Center for Pelvic Wellness | Obstetrics & Gynecology | 50 Alessandro Pl Ste 420, Pasadena, CA 91105-3173 | 2018-10-11 |
| 1861865479 | Pacific Gynecology Surgical Group Inc | Obstetrics & Gynecology | 2100 Webster St Ste 518, San Francisco, CA 94115-2382 | 2015-11-04 |
| 1003230673 | Gail Hebel | Obstetrics & Gynecology | 1024 Bayside Dr, Newport Beach, CA 92660-7462 | 2014-02-18 |
| 1265708655 | Aldene Zeno | Obstetrics & Gynecology | 1516 San Pablo Street 3rd Floor, Los Angeles, CA 90089-0121 | 2012-03-29 |
| 1891081253 | Soorena Fatehchehr | Obstetrics & Gynecology | 529 E 10th St Fl 2, Long Beach, CA 90813-4508 | 2011-06-23 |
| 1740509728 | Zaid Chaudhry | Obstetrics & Gynecology | 1135 S Sunset Ave Ste 408, West Covina, CA 91790-3964 | 2010-05-31 |
| 1578716304 | Sargon Bebla Md Inc | Obstetrics & Gynecology | 1524 Mchenry Ave Ste 370, Modesto, CA 95350 | 2008-10-24 |
| 1891942512 | Christina Liao | Obstetrics & Gynecology | 1000 W Carson St # 489, Torrance, CA 90502-2004 | 2008-08-25 |
| 1124280581 | Benjamin J. Steinberg | Obstetrics & Gynecology | 7050 N Recreation Ave Ste 105, Fresno, CA 93720-8001 | 2008-06-27 |
| 1033266879 | Mariann Alperin | Obstetrics & Gynecology | 9350 Campus Point Drive, Ste 2a, Mc 0974, Ucsd Women's Pelvic Medicine, La Jolla, CA 92037 | 2007-01-04 |
| Find all providers with the same taxonomy | ||||
| City | BAKERSFIELD |
| Zip Code | 93311 |
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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.