DR. JAY WON LEE (NPI# 1548201726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548201726 |
| Entity Type | Individual |
| Full Name | DR. JAY WON LEE |
| Credential | MD, MPH |
| Practice Address |
1550 Superior Ave Costa Mesa CA 92627-3653 |
| Mailing Address |
Po Box 10159 Costa Mesa CA 92627-0050 |
| Practice Telephone | 9492702100 |
| Practice Fax Number | 9496504458 |
| Mailing Telephone | 9492702100 |
| Mailing Fax Number | 9496504458 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A84879 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518498856 | Jay Lee | Student in an Organized Health Care Education/Training Program | 11234 Anderson St # C, Gme Office Westerly Ste, Loma Linda, CA 92354-2804 | 2017-03-27 |
| 1134418304 | Jay Lee | Dentist | 2080 Century Park E Ste 610, Los Angeles, CA 90067-2009 | 2011-03-28 |
| 1376871269 | Jay Chae-hun Lee | Chiropractor | 9909 Paramount Blvd, Suite A, Downey, CA 90240-3898 | 2009-12-03 |
| 1487862249 | Jay Lee | Dentist | 10730 W 165th St, Orland Park, IL 60647 | 2007-05-17 |
| 1508881574 | Jay Pun Lee | Physician Assistant | 23785 El Toro Rd, Suite 609, Lake Forest, CA 92630-4762 | 2006-07-12 |
| 1669433686 | Jay Lee | Optometrist | 8386 Sudley Rd, Manassas, VA 20109-3428 | 2006-03-29 |
| 1518963321 | Jay Kyung Lee | Specialist | 12980 Frederick St, Ste A, Moreno Valley, CA 92553-5263 | 2005-06-27 |
| 1255795597 | Jay Lee | Anesthesiology | 601 Elmwood Ave, Rochester, NY 14642-5400 | 2016-04-13 |
| 1306279427 | Jay Lee | Student in an Organized Health Care Education/Training Program | 1800 Orleans St, Baltimore, MD 21287-0010 | 2013-08-12 |
| 1225474588 | Jay Soong-jin Lee | Student in an Organized Health Care Education/Training Program | 1275 York Ave, New York, NY 10065-6007 | 2013-05-14 |
| Street Address |
1550 SUPERIOR AVE |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92627-3653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982660452 | Duc The Vu | Dentist | 1550 Superior Ave, Costa Mesa, CA 92627-3653 | 2006-04-25 |
| 1821612128 | Share Our Selves Corporation | Clinic/Center | 1550 Superior Ave, Costa Mesa, CA 92627-3653 | 2020-06-02 |
| 1144717778 | Share Our Selves Corporation | Pharmacy | 1550 Superior Ave, Costa Mesa, CA 92627-3653 | 2018-04-19 |
| 1548757271 | Nancy Dao | Pharmacist | 1550 Superior Ave, Costa Mesa, CA 92627-3653 | 2018-04-18 |
| 1720590003 | Stephanie Tran | Physician Assistant | 1550 Superior Ave, Costa Mesa, CA 92627-3653 | 2017-10-26 |
| 1154849842 | Vy Kieu | Nurse Practitioner | 1550 Superior Ave, Costa Mesa, CA 92627 | 2017-09-02 |
| 1336505312 | Rocio Magdalena Bender | Pharmacist | 1550 Superior Ave, Costa Mesa, CA 92627-3653 | 2016-01-06 |
| 1063894988 | Christina Thi Nguyen | Physician Assistant | 1550 Superior Ave, Costa Mesa, CA 92627-3653 | 2015-06-27 |
| 1912315680 | Hesper Tsai | Physician Assistant | 1550 Superior Ave, Costa Mesa, CA 92627-3653 | 2014-07-25 |
| 1568876209 | Nicole Ganci | Licensed Vocational Nurse | 1550 Superior Ave, Costa Mesa, CA 92627-3653 | 2014-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407174 | Ryan Allen Merrell | Technician | 313 E. 17th Pl #l Costa Mesa, Costa Mesa, CA 92627 | 2020-11-04 |
| 1245703412 | Allure Transportation | Non-emergency Medical Transport (VAN) | 1835 Newport Blvd Ste 109 #110, Costa Mesa, CA 92627 | 2019-01-09 |
| 1750857686 | Living Success Center | Marriage & Family Therapist | 445 E. 17th Street, Suites D & E, Costa Mesa, CA 92627 | 2018-10-18 |
| 1790298909 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-a University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1679086862 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-b University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1245759018 | Surgical Assistant Associates | Clinic/Center | 186 E. 16th Street, Suite C, Costa Mesa, CA 92627 | 2017-09-13 |
| 1366962334 | Guadalupe A. Mejia Dental Corp. | Dentist | 700 W 19th St., Suite C, Costa Mesa, CA 92627 | 2017-06-21 |
| 1386189033 | Jian Yi Ye | Acupuncturist | 2488 Newport Blvd Ste B1, Costa Mesa, CA 92627 | 2017-01-04 |
| 1144764606 | Michele Marie Patton | Dental Hygienist | 2220 Fairview Rd., Costa Mesa, CA 92627 | 2016-12-18 |
| 1881148500 | Valerie Nguyen | Pharmacist | 1835 Newport Blvd # C, Costa Mesa, CA 92627 | 2016-08-10 |
| Find all providers in zip 92627 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639656358 | Md24 Oc, Inc | Family Medicine | Plaza Tower I 600 Anton Blvd, Suite 1100, Costa Mesa, AZ 92626 | 2018-07-25 |
| 1265919500 | Md24 La, Inc. | Family Medicine | 600 Anton Blvd Ste 1100, Costa Mesa, CA 92626-7100 | 2018-07-19 |
| 1699138511 | Vanessa Yu-wen Wu | Family Medicine | 1640 Newport Blvd Ste 300, Costa Mesa, CA 92627-7725 | 2016-03-29 |
| 1598032559 | John Hakkyun Kim | Family Medicine | 3195 Harbor Blvd Ste 3, Costa Mesa, CA 92626-2514 | 2011-11-18 |
| 1619113503 | Thao Minh Phan | Family Medicine | 1170 Baker St Ste H1, Costa Mesa, CA 92626 | 2008-12-23 |
| 1306028907 | Zaid Noman | Family Medicine | 131 E 17th St, Costa Mesa, CA 92627-3792 | 2007-12-05 |
| 1942408323 | Tarlan Ariana Nahidi | Family Medicine | 1190 Baker St Ste 100, Costa Mesa, CA 92626-4105 | 2007-07-06 |
| 1841402583 | Andrea Purcell | Family Medicine | 1770 Orange Ave, Portal To Healing, Costa Mesa, CA 92627 | 2007-05-04 |
| 1619194107 | Sara Tran Hong Chau | Family Medicine | 1190 W. Baker Street, Suite 100, Costa Mesa, CA 92626 | 2007-04-19 |
| 1922184076 | Stella D Pollack | Family Medicine | 3195 Harbor Blvd, Suite 3, Costa Mesa, CA 92626-2514 | 2006-10-31 |
| Find all providers in COSTA MESA | ||||
| City | COSTA MESA |
| Zip Code | 92627 |
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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.