KEVIN LEE (NPI# 1265050363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265050363 |
Entity Type | Individual |
Full Name | KEVIN LEE |
Credential | MA |
Practice Address |
4700 Von Karman Ave Ste 102 Newport Beach CA 92660-2194 |
Mailing Address |
24570 Stewart St Apt 2 Loma Linda CA 92354-2721 |
Practice Telephone | 9497431457 |
Enumeration Date | 2020-07-06 |
Last Update Date | 2020-07-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528668639 | Kevin Lee | Occupational Therapist | 1417 Royal Grove Ln, Port Orange, FL 32129-8620 | 2020-10-28 |
1689292047 | Kevin Kuang Lee | Dentist | 2341 Toyon Way, San Bruno, CA 94066-1937 | 2020-07-11 |
1083176614 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Op512, Sacramento, CA 95817 | 2019-04-02 |
1376001925 | Kevin Lee | Nurse Anesthetist, Certified Registered | 305 N Martin Ave, Tucson, AZ 85721-0001 | 2019-03-03 |
1558848952 | Kevin Lee | Acupuncturist | 3775 Venture Dr Bldg N, Duluth, GA 30096-5102 | 2018-07-27 |
1265815369 | Kevin Lee | Dentist | 1821 Wilshire Blvd Ste 646, Santa Monica, CA 90403-5674 | 2015-07-07 |
1437427952 | Kevin Dale Lee | Counselor | 4750 S Harvard Ave, Suite #81, Tulsa, OK 74135-3031 | 2011-12-12 |
1275855579 | Kevin K Lee | Pharmacist | 441 Valley Brook Ave, Lyndhurst, NJ 07071-1935 | 2010-02-28 |
1558543736 | Kevin Seokkyu Lee | Dentist | 1 Barstow Rd Ste P23, Great Neck, NY 11021-3501 | 2007-11-29 |
1134321516 | Kevin Kwonki Lee | Dentist | 22342 Avenida Empresa Ste 285, Rancho Santa Margarita, CA 92688-2162 | 2007-06-05 |
Street Address |
4700 VON KARMAN AVE STE 102 |
City | NEWPORT BEACH |
State | CA |
Zip Code | 92660-2194 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164735551 | Nicole Sally Lightman | Psychologist | 4700 Von Karman Ave Ste 102, Newport Beach, CA 92660 | 2010-07-14 |
1174130652 | Diane Li | Psychologist | 4700 Von Karman Ave Ste 102, Newport Beach, CA 92660-2194 | 2020-09-28 |
1104432228 | Shashonk Illam | Student in an Organized Health Care Education/Training Program | 4700 Von Karman Ave Ste 102, Newport Beach, CA 92660-2194 | 2020-09-23 |
1699387381 | Brittany Nicole Taylor | Counselor | 4700 Von Karman Ave Ste 102, Newport Beach, CA 92660-2194 | 2020-08-23 |
1902414600 | Willie Hardeman | Counselor | 4700 Von Karman Ave Ste 102, Newport Beach, CA 92660-2194 | 2020-07-19 |
1336767177 | Amin Salek | Psychologist | 4700 Von Karman Ave Ste 102, Newport Beach, CA 92660-2194 | 2020-07-08 |
1669010666 | Kathy Le | Student in an Organized Health Care Education/Training Program | 4700 Von Karman Ave Ste 102, Newport Beach, CA 92660-2194 | 2019-12-20 |
1225692726 | Tiffany Justine Trent | Counselor | 4700 Von Karman Ave Ste 102, Newport Beach, CA 92660-2194 | 2019-04-30 |
1861902280 | Julia Evans Phd Psychology PC | Clinical Neuropsychologist | 4700 Von Karman Ave Ste 102, Newport Beach, CA 92660 | 2017-10-11 |
1760924849 | Julia Evans | Clinical Neuropsychologist | 4700 Von Karman Ave Ste 102, Newport Beach, CA 92660 | 2016-11-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
1205445798 | Felecia A Pedrogo | Marriage & Family Therapist | 5020 Campus Street, Newport Beach, CA 92660 | 2020-07-30 |
1649898388 | Polyviou Dental Corportation, Inc. | Clinic/Center | 120 Newport Beach Drive, Suite 27, Newport Beach, CA 92660 | 2020-07-09 |
1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
1902366925 | Yasmine Central Gohar | Marriage & Family Therapist | 20271 Sw Birch St Ste 200, Newport Beach, CA 92660 | 2019-03-25 |
1245703255 | Charison Counseling | Counselor | 4000 Macarthur Bvd Suite 600 East Tower, Newport Beach, CA 92660 | 2019-01-03 |
1134698996 | Amber Werner | Chiropractor | 4029 Westerly Place, Suite #115, Newport Beach, CA 92660 | 2018-11-21 |
1861969008 | Healthy Me Oc | Dietitian, Registered | 4569 Macarthur Court, Suite 1100, Newport Beach, CA 92660 | 2018-10-25 |
1174015192 | Edwin Enwia | Clinic/Center | 1000 Bristol St N Ste 1b, Newport Beach, CA 92660 | 2018-06-05 |
Find all providers in zip 92660 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881105260 | Angelica Chakos | Student in an Organized Health Care Education/Training Program | 4700 Von Karman Ave, Newport Beach, CA 92660-2194 | 2017-10-12 |
1144620501 | Rebecca Fuller Summers | Student in an Organized Health Care Education/Training Program | 260 Newport Center Dr Ste 100, Newport Beach, CA 92660-7522 | 2014-09-03 |
1508278185 | Julie Russell | Student in an Organized Health Care Education/Training Program | 2622 Vista Dr, Newport Beach, CA 92663-5634 | 2014-05-29 |
1871882035 | Cheryl-lynn Marie Bugailiskis | Student in an Organized Health Care Education/Training Program | 116 E Balboa Blvd Apt A, Newport Beach, CA 92661-1180 | 2011-03-28 |
1285941468 | Amanda Jo Mccullough | Student in an Organized Health Care Education/Training Program | 4001 Westerly Pl, Suite 110, Newport Beach, CA 92660-2315 | 2010-09-09 |
1295994309 | Shivani Chopra | Student in an Organized Health Care Education/Training Program | 4695 Macarthur Ct Ste 1100, Newport Beach, CA 92660-1866 | 2008-06-03 |
1740483593 | Vaneesh Soni | Student in an Organized Health Care Education/Training Program | 35 Ridgeline Dr, Newport Beach, CA 92660-6838 | 2007-06-08 |
1225645096 | Iamee Kling | Student in an Organized Health Care Education/Training Program | 23 Corporate Plaza Dr Ste 150, Newport Beach, CA 92660-7908 | 2020-09-25 |
1386251122 | Matthew Nozaki | Student in an Organized Health Care Education/Training Program | 23 Corporate Plaza Dr Ste 150, Newport Beach, CA 92660-7908 | 2020-09-25 |
1104432228 | Shashonk Illam | Student in an Organized Health Care Education/Training Program | 4700 Von Karman Ave Ste 102, Newport Beach, CA 92660-2194 | 2020-09-23 |
Find all providers in NEWPORT BEACH |
City | NEWPORT BEACH |
Zip Code | 92660 |
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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.