DEREK LEE (NPI# 1336636273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336636273 |
| Entity Type | Individual |
| Full Name | DEREK LEE |
| Credential | MD |
| Practice Address |
1000 W Carson St Torrance CA 90502-2059 |
| Mailing Address |
16883 Saint Andrews Dr Poway CA 92064-1136 |
| Practice Telephone | 3102222345 |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2018-04-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| 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 |
|---|---|---|---|---|
| 1396116596 | Derek Lee | Physical Therapist | 2668 E Citizens Dr Ste 5, Fayetteville, AR 72703-4796 | 2015-10-13 |
| 1790042083 | Derek Lee | Radiologic Technologist | 28322 N 223rd Ln, Wittmann, AZ 85361-8780 | 2012-04-12 |
| 1205090503 | Derek L Lee | Dentist | 17 E Hospital St, Manning, SC 29102-3152 | 2008-07-15 |
| 1083235386 | Derek Lee | Student in an Organized Health Care Education/Training Program | 1400 W 22nd St, Sioux Falls, SD 57105-1554 | 2020-04-28 |
| 1962045849 | Derek Chalmer Lee | Counselor | 3171 N Meridian St, Indianapolis, IN 46208-4784 | 2019-10-23 |
| 1073083549 | Derek Lee | Physical Therapist | 143 E 34th St, New York, NY 10016-4713 | 2018-11-27 |
| 1891273173 | Derek Dongsuk Lee | Pharmacist | 705 E Mcdowell Rd, Pharmacy, Phoenix, AZ 85006-2519 | 2018-07-30 |
| 1639667553 | Derek Justin Lee | Student in an Organized Health Care Education/Training Program | 90 S Main St, Middletown, CT 06457-3649 | 2018-04-26 |
| 1831619766 | Derek Lee | Counselor | 100 Asma Blvd Ste 200, Lafayette, LA 70508-3868 | 2017-06-21 |
| 1801335757 | Derek Timothy Lee | Pharmacist | 20940 Burbank Blvd, Woodland Hills, CA 91367-6601 | 2017-02-13 |
| Street Address |
1000 W CARSON ST |
| City | TORRANCE |
| State | CA |
| Zip Code | 90502-2059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255324885 | Timothy L Vannatta | Surgery | 1000 W Carson St, Box 42, Torrance, CA 90502-2004 | 2005-08-30 |
| 1396354825 | Jonica Marie Rivas (gonzalez) | Registered Nurse | 1000 W Carson St, Torrance, CA 90502-2004 | 2020-07-30 |
| 1871102475 | Ronald Calderon | Student in an Organized Health Care Education/Training Program | 1000 W Carson St, Torrance, CA 90502-2004 | 2020-07-29 |
| 1396353058 | Stephanie Munoz | Student in an Organized Health Care Education/Training Program | 1000 W Carson St, Torrance, CA 90502-2004 | 2020-07-20 |
| 1720606247 | Fabiola Saucedo Macias | Student in an Organized Health Care Education/Training Program | 1000 W Carson St, Torrance, CA 90502-2004 | 2020-07-10 |
| 1235755489 | Haya Nemtzov | Nurse Practitioner | 1000 W Carson St, Torrance, CA 90502-2059 | 2020-06-24 |
| 1588280945 | Ana Gabriela Vargas Garcia | Student in an Organized Health Care Education/Training Program | 1000 W Carson St, Torrance, CA 90502-2004 | 2020-06-22 |
| 1699397984 | Edmond Ebubechukwu Onwukwe | Student in an Organized Health Care Education/Training Program | 1000 W Carson St, Torrance, CA 90502-2004 | 2020-05-11 |
| 1902428238 | Jared Joshua Johnson | Student in an Organized Health Care Education/Training Program | 1000 W Carson St, Torrance, CA 90502-2059 | 2020-05-08 |
| 1427679356 | Jonathan Rodney | Student in an Organized Health Care Education/Training Program | 1000 W Carson St, Torrance, CA 90502-2004 | 2020-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992319149 | Gia Chodzen | Student in an Organized Health Care Education/Training Program | Harbor-ucla Dmh, 1000 W Carson St, #488, Torrance, CA 90502 | 2020-09-04 |
| 1750994919 | Desiree Elise Cervantes | Social Worker | Harbor Ucla Medical Center, 1000 West Carson Street, Torrance, CA 90502 | 2020-08-27 |
| 1205448644 | Tabitha Tamara Black | Student in an Organized Health Care Education/Training Program | Harbor Ucla Dmh 1000 W Carson Street, Number 488, Torrance, CA 90502 | 2020-08-18 |
| 1538718531 | Harbor-ucla Dmh | Student in an Organized Health Care Education/Training Program | Harbor-ucla Dmh, 1000 W Carson St Box #498, Torrance, CA 90502 | 2019-09-11 |
| 1891345831 | Sydney Del Carmen Wheat | Student in an Organized Health Care Education/Training Program | 1000 W Carson St Box #488, Torrance, CA 90502 | 2019-09-11 |
| 1467971283 | Grace Y Kim | Student in an Organized Health Care Education/Training Program | Lacdmh Hucla 1000 W. Carson Street, Torrance, CA 90502 | 2017-09-13 |
| 1619498631 | Shauntel Locus | Case Manager/Care Coordinator | 1124 W. Carson Street, Torrance, CA 90502 | 2017-06-29 |
| 1740700079 | Charlise Brown-scranton | Registered Nurse | 711 W. Del Amo Blvd, Torrance, CA 90502 | 2017-06-27 |
| 1497280978 | C Edward Villasenor Castelo | Specialist | 1000 W Carson St # D5, Torrance, CA 90502 | 2017-04-21 |
| 1114464393 | Brissa Giron | Counselor | 19401 Vermont Ave, Suite C100, Torrance, CA 90502 | 2017-01-25 |
| Find all providers in zip 90502 | ||||
| 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 |
|---|---|---|---|---|
| 1992319149 | Gia Chodzen | Student in an Organized Health Care Education/Training Program | Harbor-ucla Dmh, 1000 W Carson St, #488, Torrance, CA 90502 | 2020-09-04 |
| 1205448669 | Jonathan Anhduy Tran | Student in an Organized Health Care Education/Training Program | 2461 W 230th Pl, Torrance, CA 90501-5206 | 2020-08-18 |
| 1205448644 | Tabitha Tamara Black | Student in an Organized Health Care Education/Training Program | Harbor Ucla Dmh 1000 W Carson Street, Number 488, Torrance, CA 90502 | 2020-08-18 |
| 1588289623 | Elizabeth Lopez Escobar | Student in an Organized Health Care Education/Training Program | 1626 W 209th St Apt 8, Torrance, CA 90501-1937 | 2020-06-15 |
| 1225665250 | Katherine Lee | Student in an Organized Health Care Education/Training Program | 1000 West Carson Street Main Hospital, 7 West, Torrance, CA 90509 | 2020-03-27 |
| 1538718531 | Harbor-ucla Dmh | Student in an Organized Health Care Education/Training Program | Harbor-ucla Dmh, 1000 W Carson St Box #498, Torrance, CA 90502 | 2019-09-11 |
| 1891345831 | Sydney Del Carmen Wheat | Student in an Organized Health Care Education/Training Program | 1000 W Carson St Box #488, Torrance, CA 90502 | 2019-09-11 |
| 1912490681 | Catherine Marie Peters | Student in an Organized Health Care Education/Training Program | 1000 W Carson St Bldg D5.5, Torrance, CA 90502-2004 | 2018-06-07 |
| 1376040667 | Jenny Hung | Student in an Organized Health Care Education/Training Program | 1000 W Carson St Fl 6, Torrance, CA 90502-2004 | 2018-04-12 |
| 1467971283 | Grace Y Kim | Student in an Organized Health Care Education/Training Program | Lacdmh Hucla 1000 W. Carson Street, Torrance, CA 90502 | 2017-09-13 |
| Find all providers in TORRANCE | ||||
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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.