DR. ANDREW LEE (NPI# 1154507440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154507440 |
| Entity Type | Individual |
| Full Name | DR. ANDREW LEE |
| Credential | MD |
| Practice Address |
11500 W Olympic Blvd Ste 538 Los Angeles CA 90064-1672 |
| Practice Telephone | 3104741002 |
| Practice Fax Number | 3104741002 |
| Mailing Telephone | 3104741002 |
| Mailing Fax Number | 3104741002 |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2017-01-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A91324 | CA | Allopathic & Osteopathic Physicians |
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
A91324 | CA | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
A91324 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104925 | Andrew Sungmin Lee | Physical Therapist | 21915 Hawaiian Ave Apt D, Hawaiian Gardens, CA 90716-6001 | 2020-11-05 |
| 1831680446 | Andrew Jaejun Lee | Acupuncturist | 3980 San Pablo Dam Rd Ste 205, El Sobrante, CA 94803 | 2018-05-21 |
| 1457872731 | Andrew Thomas Lee | Counselor | 6200 Cermak Rd Fl 2, Berwyn, IL 60402-2322 | 2017-06-27 |
| 1235669771 | Andrew Joseph Lee | Technician/Technologist | 4484 Janice Lee Dr Apt A013, Okemos, MI 48864-1989 | 2017-06-18 |
| 1811423783 | Andrew M Lee | Specialist/Technologist, Other | 2717 E 93rd St, Suite 303, Tulsa, OK 74137-4602 | 2017-05-11 |
| 1093256372 | Andrew Lawrence Lee | Specialist/Technologist | 3329 Meadow Ridge Dr, Corpus Christi, TX 78418-3938 | 2017-03-20 |
| 1275080160 | Andrew K Lee | Physician Assistant | 5575 Warren Pkwy Ste 120, Frisco, TX 75034-4093 | 2016-09-08 |
| 1457806499 | Andrew C Lee | Dentist | 5037 Souza Dr, Las Vegas, NV 89146 | 2016-08-19 |
| 1306297635 | Andrew Lee | Acupuncturist | 3130 W Olympic Blvd Ste 380, Los Angeles, CA 90006-2655 | 2016-06-28 |
| 1659733194 | Andrew Moses Lee | Student in an Organized Health Care Education/Training Program | 205 Webster St, San Francisco, CA 94117-3509 | 2016-03-23 |
| Street Address |
11500 W OLYMPIC BLVD STE 538 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90064-1672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215246723 | Mariam Moini | Counselor | 11500 W Olympic Blvd Ste 538, Los Angeles, CA 90064-1672 | 2010-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727597 | Barbara K. Polland | Marriage & Family Therapist | 10533 Rountree Rd., Los Angeles, CA 90064 | 2020-10-16 |
| 1912542994 | Reproductive Medicine Associates of Socal Ambulatory Surgery Center | Clinic/Center | 11500 W Olympic Blvd, Ste# 150, Los Angeles, CA 90064 | 2019-11-13 |
| 1376022012 | Payersdirect, Inc. | Radiology | 11845 W Olympic Blvd Ste 1100w, Los Angeles, CA 90064 | 2018-08-13 |
| 1013404136 | Jeannie Wakamatsu | Dietitian, Registered | 10312 Almayo Ave., Suite 6, Los Angeles, CA 90064 | 2018-04-13 |
| 1487153474 | Victor Louie | Behavior Technician | 11835 W Olympic Blvd Suite 140e, Los Angeles, CA 90064 | 2018-02-06 |
| 1538683842 | Ana Grinfeld | Behavioral Analyst | 11835 W Olympic Blvd Ste 140e, Los Angeles, CA 90064 | 2017-07-28 |
| 1407386089 | Ovsanna Stepanyan | Rehabilitation Practitioner | 11080 W Olimpic Blvd, La, CA 90064 | 2017-06-15 |
| 1952768012 | Grace Gayles | Behavioral Analyst | 11835 W. Olympic Blvd., Suite 140e, Los Angeles, CA 90064 | 2016-01-20 |
| 1669841003 | Jessica Hildebrandt | Occupational Therapy Assistant | 2446 S Westgate Ave, Los Angeles, CA 90064 | 2015-09-16 |
| 1033592571 | Joshua Busse | Family Medicine | 11845 Olympic Boulevard, Los Angeles, CA 90064 | 2015-07-01 |
| Find all providers in zip 90064 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912432055 | Centered Health LLC | Psychiatry & Neurology | 6422 W 6th St, Los Angeles, CA 90048-4714 | 2017-04-26 |
| 1225302755 | Joseph Naylor Kenan | Psychiatry & Neurology | 12424 Wilshire Blvd Ste 1130, Los Angeles, CA 90025-1064 | 2012-03-01 |
| 1962786947 | Shirah Vollmer | Psychiatry & Neurology | 941 Westwood Blvd Ste 204, Los Angeles, CA 90024-2940 | 2011-10-07 |
| 1639469489 | Daniel J Siegel | Psychiatry & Neurology | 11980 San Vicente Blvd Ste 809, Los Angeles, CA 90049-6606 | 2011-04-13 |
| 1689800690 | Le Tran Notarfrancesco | Psychiatry & Neurology | 4700 W Sunset Blvd Fl 5, Los Angeles, CA 90027-6082 | 2009-06-04 |
| 1942479688 | Sharon O'neil | Psychiatry & Neurology | 4650 W Sunset Blvd # Ms 354, Los Angeles, CA 90027-6062 | 2008-02-27 |
| 1295946465 | Carolanne Kelly Phelan | Psychiatry & Neurology | 12424 Wilshire Blvd # 1010, Los Angeles, CA 90025-1052 | 2007-05-26 |
| 1477761310 | Lauren Burr Ozbolt | Psychiatry & Neurology | 12301 Wilshire Blvd Ste 202, Los Angeles, CA 90025-1023 | 2007-05-21 |
| 1841415544 | Edward Ross Ritvo | Psychiatry & Neurology | 10570 Rocca Way, Los Angeles, CA 90077-2906 | 2007-04-16 |
| 1831217264 | Anandhi Narasimhan | Psychiatry & Neurology | 10850 Wilshire Blvd Ste 200, Los Angeles, CA 90024-4315 | 2007-03-26 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90064 |
Please comment or provide details below to improve the information on DR. ANDREW 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.