EDWARD SU-CHONG LEE (NPI# 1114926672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114926672 |
| Entity Type | Individual |
| Full Name | EDWARD SU-CHONG LEE |
| Credential | M.D. |
| Practice Address |
1140 W La Veta Ave Ste. 520 Orange CA 92868-4225 |
| Mailing Address |
Po Box 5971 Orange CA 92863-5971 |
| Practice Telephone | 7145432000 |
| Mailing Telephone | 7145715000 |
| Mailing Fax Number | 7145715055 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2008-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | A62692 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A626920 | 05 | |
| RAILROAD MEDICARE | P00002597 | 01 | |
| BLUE SHIELD OF CA | 00A626920 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528697620 | Edward Lee | Student in an Organized Health Care Education/Training Program | 3214 E Race St, Searcy, AR 72143 | 2020-04-02 |
| 1811550304 | Edward Wahn Lee | Student in an Organized Health Care Education/Training Program | 130 Hartford Road, Manchester, CT 06040 | 2019-04-19 |
| 1700165495 | Edward Lee | Pharmacist | 216 West 72nd St, New York, NY 10023 | 2011-08-11 |
| 1083945968 | Edward Ilho Lee | Plastic Surgery | 546 Waugh Dr, Houston, TX 77019 | 2010-01-16 |
| 1679809206 | Edward Lee | Acupuncturist | 89 5th Ave Ste 305, New York, NY 10003-3020 | 2009-11-02 |
| 1669600326 | Edward Howe Lee | Internal Medicine | 106 South Dennis Rd, Cape May Court House, NJ 08210 | 2009-07-01 |
| 1235377664 | Edward Haniel Lee | Acupuncturist | 8780 Van Nuys Blvd Ste A, Panorama City, CA 91402-2453 | 2009-01-22 |
| 1215189550 | Edward Wolfgang Lee | Radiology | 757 Westwood Plz Ste 2125b, Los Angeles, CA 90095-8358 | 2008-10-17 |
| 1487866588 | Edward Wan-jae Lee | Ophthalmology | 5363 Balboa Blvd., Suite 545, Encino, CA 91316 | 2007-05-03 |
| 1124249214 | Edward Stanley Lee | Dentist | 2301 Vicente Street, San Francisco, CA 94116 | 2007-05-02 |
| Street Address |
1140 W LA VETA AVE STE. 520 |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-4225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031735 | Mark A. George | Dentist | 1140 W La Veta Ave, Ste 530, Orange, CA 92868-4227 | 2005-05-31 |
| 1356878052 | Pavilion Surgery Center LLC | Clinic/Center | 1140 W La Veta Ave, Orange, CA 92868-4225 | 2017-05-12 |
| 1639555394 | Uc Irvine Cardiopulmonary Clinic | Clinic/Center | 1140 W La Veta Ave, Suite 750, Orange, CA 92868-4225 | 2015-08-05 |
| 1437538485 | Jessica Gaeta Weaver | Registered Nurse | 1140 W La Veta Ave, Orange, CA 92868 | 2015-05-22 |
| 1114349701 | Uc Irvine Cardiopulmonary Clinic | Clinic/Center | 1140 W La Veta Ave, Suite 750, Orange, CA 92868-4225 | 2014-01-15 |
| 1841626702 | Nancy Berard-shuman | Occupational Therapist | 1140 W La Veta Ave, Suite 860, Orange, CA 92868-4225 | 2013-09-23 |
| 1215238522 | Jeffrey M. Johnsrud, A Medical Corporation | Specialist | 1140 W La Veta Ave, Suite 760, Orange, CA 92868-4223 | 2010-11-03 |
| 1962631101 | Aidan Rupert Raney | Internal Medicine | 1140 W La Veta Ave, Ste 430, Orange, CA 92868-4225 | 2009-07-09 |
| 1417181470 | Teresa H Garcia, M.d., Inc | Clinic/Center | 1140 W La Veta Ave, Suite 480, Orange, CA 92868-4223 | 2009-05-06 |
| 1962636928 | Lilly F Ramirez-boyd, M.d., Inc | Clinic/Center | 1140 W La Veta Ave, Suite 410, Orange, CA 92868-4223 | 2009-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| 1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
| 1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
| Find all providers in zip 92868 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285049510 | Philip Ryan Molarte Camilon | Otolaryngology | 505 S Main St Ste 275, Orange, CA 92868-4547 | 2014-06-25 |
| 1174880496 | Jay M Bhatt | Otolaryngology | 1010 W La Veta Ave Ste 640, Orange, CA 92868-4306 | 2012-04-12 |
| 1295091155 | Edward C Kuan | Otolaryngology | 200 S Manchester Ave Ste 400, Orange, CA 92868-3220 | 2012-04-05 |
| 1124279344 | Sunil Verma | Otolaryngology | 101 The City Drive South Bldg 56 Ste 500, Orange, CA 92868-3201 | 2008-10-07 |
| 1205010360 | Naveen Dilip Bhandarkar | Otolaryngology | 101 The City Drive S Pavilion 2, Orange, CA 92868-3201 | 2007-12-26 |
| 1205044567 | Orange Clinical Associates Pa | Otolaryngology | 610 Strickland Dr Ste 290, Orange, TX 77630-4790 | 2007-05-19 |
| 1992851893 | Reconstructive Services Medical Group, Inc | Otolaryngology | 212 E Chapman Ave, Orange, CA 92866-1506 | 2007-01-25 |
| 1679592737 | House Ear Clinic Inc | Otolaryngology | 1046 W. Town and Country Road, Building G, Orange, CA 92868 | 2006-07-19 |
| 1477552941 | Roberto Limgenco Barretto | Otolaryngology | 1201 W La Veta Ave, Ste. 311, Orange, CA 92868-4213 | 2005-07-18 |
| 1104824101 | Dimitry B Goufman | Otolaryngology | 302 West Laveta Ave., Suite 201, Orange, CA 92866 | 2005-07-13 |
| Find all providers in ORANGE | ||||
Please comment or provide details below to improve the information on EDWARD SU-CHONG LEE.
| 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.