LORD A LEE-BENNER (NPI# 1447359930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447359930 |
| Entity Type | Individual |
| Full Name | LORD A LEE-BENNER |
| Credential | MD,FACE |
| Practice Address |
4121 Westerly Pl Ste 204 Newport Beach CA 92660-2338 |
| Practice Telephone | 9499036021 |
| Mailing Telephone | 9499036021 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
G20669 | CA | Allopathic & Osteopathic Physicians |
| X | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
G20669 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENCE | G20669 | 01 |
| Street Address |
4121 WESTERLY PL STE 204 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92660-2338 |
| 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 | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588734743 | Farzana Naqvi | Internal Medicine | 520 Superior Ave Ste 390, Newport Beach, CA 92663-3668 | 2006-11-08 |
| 1366535684 | Kris V Iyer | Internal Medicine | 520 Superior Ave Ste 150, Newport Beach, CA 92663-3642 | 2006-09-30 |
| 1336136951 | Duc H. Do | Internal Medicine | 355 Placentia Ave Ste 207a, Newport Beach, CA 92663-3302 | 2005-09-29 |
| 1659727865 | Ralli and Grewal Apc | Internal Medicine | 520 Superior Ave, Suite 390, Newport Beach, CA 92663-3637 | 2016-05-05 |
| 1972937266 | Spn Medical Consulting Inc. | Internal Medicine | 520 Superior Ave, Ste. 350, Newport Beach, CA 92663-3637 | 2013-08-22 |
| 1679859037 | Newport Endocrine Associates | Internal Medicine | 351 Hospital Rd, Suite 415, Newport Beach, CA 92663-3509 | 2011-10-31 |
| 1184949570 | David Taehyung Ahn | Internal Medicine | 520 Superior Ave Ste 150, Newport Beach, CA 92663-3642 | 2010-03-29 |
| 1528298700 | Sandra S. Kwak, M.d., Inc. | Internal Medicine | 520 Superior Ave, Suite # 310, Newport Beach, CA 92663-3637 | 2009-07-22 |
| 1942453584 | Endocrine Medical-home, A Professional Corporation | Internal Medicine | 320 Superior Ave, Suite 240, Newport Beach, CA 92663-2716 | 2008-10-28 |
| 1457501371 | A Reza Moattari Md Inc. | Internal Medicine | 1441 Avocado Ave, Ste 807, Newport Beach, CA 92660-7721 | 2008-09-28 |
| Find all providers in NEWPORT BEACH | ||||
| City | NEWPORT BEACH |
| Zip Code | 92660 |
Please comment or provide details below to improve the information on LORD A LEE-BENNER.
| 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.