EUNICE JAEUN LEE (NPI# 1235344607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235344607 |
Entity Type | Individual |
Full Name | EUNICE JAEUN LEE |
Credential | M.D. |
Practice Address |
17560 N 75th Ave Ste 400 Glendale AZ 85308-5984 |
Practice Telephone | 6239315001 |
Practice Fax Number | 6239798268 |
Mailing Telephone | 6239315001 |
Mailing Fax Number | 6239798268 |
Enumeration Date | 2007-05-11 |
Last Update Date | 2019-09-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 43667 | AZ | Allopathic & Osteopathic Physicians |
N | 208000000X | Pediatrics | A103616 | CA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548732662 | Eunice Yeung Lee | Nurse Practitioner | 1089 W Exchange Pkwy Apt 6104, Allen, TX 75013-7050 | 2018-12-31 |
1558871079 | Eunice Lee | Pharmacist | 32 Spring St Apt 118, Wallington, NJ 07057-2030 | 2017-10-11 |
1902149453 | Eunice Lee | Pharmacist | 2 Fair Oaks, Irvine, CA 92602-1061 | 2013-04-03 |
1194977389 | Eunice Young Lee | Nurse Practitioner | 5901 W. Olympic Blvd., #301, Los Angeles, CA 90036-4664 | 2008-10-21 |
1518995596 | Eunice Sara Lee | Physical Therapist | 2550 Willow Lane, Westlake Village, CA 91361 | 2006-06-29 |
1053301036 | Eunice Lee | Physician Assistant | 8675 Valley Creek Rd, Woodbury, MN 55125-2337 | 2005-10-21 |
1467065011 | Eunice Lee | Counselor | 4760 Sepulveda Blvd, Culver City, CA 90230-4820 | 2020-08-24 |
1891306007 | Eunice Lee | Pharmacist | 1106 N Columbia Center Blvd, Kennewick, WA 99336-1161 | 2020-08-11 |
1144830878 | Eunice Yoon Ha Lee | Student in an Organized Health Care Education/Training Program | 4660 Viewridge Ave Ste 100, San Diego, CA 92123-1638 | 2020-08-06 |
1013542745 | Eunice Lee | Dentist | 1700 W Charleston Blvd, Las Vegas, NV 89102-2335 | 2020-03-03 |
Street Address |
17560 N 75TH AVE STE 400 |
City | GLENDALE |
State | AZ |
Zip Code | 85308-5984 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043859267 | Riley Lynn Frenak | Physician Assistant | 17560 N 75th Ave Ste 400, Glendale, AZ 85308-5984 | 2020-01-06 |
1760020077 | Matthew Short Baylon | Physician Assistant | 17560 N 75th Ave Ste 400, Glendale, AZ 85308-5984 | 2019-12-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
Find all providers in zip 85308 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619485489 | Pleasant Pediatrics Plc | Pediatrics | 9980 W Glendale Ave Ste 130, Glendale, AZ 85307-3007 | 2018-01-16 |
1518412311 | Saul Grullon | Pediatrics | 7848 73rd Pl, Glendale, NY 11385-7426 | 2016-08-22 |
1376921106 | Pleasant Pediatrics Plc | Pediatrics | 5125 W Myrtle Ave, Glendale, AZ 85301-2007 | 2015-05-13 |
1770987158 | Alice Abrahamian Md, A Medical Corporation | Pediatrics | 411 N Central Ave Ste 130, Glendale, CA 91203-2092 | 2014-10-14 |
1144634510 | Josephine Moukhtar | Pediatrics | 1816 Orchard Ave Apt 1, Glendale, CA 91206-4179 | 2014-06-13 |
1386068419 | Jean Bove Goerss | Pediatrics | 7101 W Beardsley Rd, Unit 741, Glendale, AZ 85308-5699 | 2014-02-10 |
1811230139 | Caroline Kim Park | Pediatrics | 801 S Chevy Chase Dr Ste 200, Glendale, CA 91205-4435 | 2013-04-04 |
1396049235 | Parvaneh Rafaeloff, Md, Inc. | Pediatrics | 1030 S. Glendale Ave #308, Glendale, CA 91205-2866 | 2011-01-07 |
1649572652 | Gagik Khoylyan, M.d., Inc. | Pediatrics | 540 N Central Ave Ste 105, Glendale, CA 91203-3350 | 2010-11-23 |
1497985386 | Melissa C Jones | Pediatrics | 3575 W Deer Valley Rd, Suite 100, Glendale, AZ 85308 | 2009-07-25 |
Find all providers in GLENDALE |
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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.