DR. PATRICK KEVIN LEE


Address: 13420 Newport Ave, Suite G, Tustin, CA 92780-3745
Phone: 7147310061

DR. PATRICK KEVIN LEE (NPI# 1679566335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679566335
Entity Type Individual
Full Name DR. PATRICK KEVIN LEE
Credential M.D.
Practice Address 13420 Newport Ave
Suite G
Tustin
CA 92780-3745
Practice Telephone 7147310061
Practice Fax Number 7147310164
Mailing Telephone 7147310061
Mailing Fax Number 7147310164
Enumeration Date 2005-08-29
Last Update Date 2012-02-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207N00000X Dermatology G74804 CA Allopathic & Osteopathic Physicians
Y 207ND0101X Dermatology
Specialization: MOHS-Micrographic Surgery
G74804 CA Allopathic & Osteopathic Physicians

Other Providers PATRICK LEE

NPI Name Taxonomy Address Enumeration
1154811297 Patrick Lee Technician/Technologist 18203 S. Western Ave Ste. 102, Torrance, CA 90248 2018-05-15
1477800977 Patrick Shannon Lee Physician Assistant Attn: Tammie Silva, 1340 Hal Greer Boulevard, Huntington, WV 25701-3800 2012-08-14
1992091532 Patrick Lee Behavioral Analyst 674 Sw 12th St, Moore, OK 73160-2765 2011-06-22
1942465968 Patrick Shuenchung Lee Optometrist 18045 Magnolia St, Fountain Valley, CA 92708-5638 2008-07-21
1699954065 Patrick Lee Radiology 470 University Ave, Palo Alto, CA 94301-1812 2007-11-01
1922213305 Patrick Hammill Lee Dentist 107 Caledonia Street, Suite I, Sausalito, CA 94965 2007-05-11
1568091809 Patrick Christopher Lee Student in an Organized Health Care Education/Training Program 8700 Beverly Blvd Ste 5512, West Hollywood, CA 90048-1804 2020-04-08
1497390454 Patrick Jackson Lee Counselor 7514 N Mo Pac Expy Ste 100, Austin, TX 78731-3168 2019-11-14
1013476126 Patrick Lee Student in an Organized Health Care Education/Training Program 1200 N State Street, Clinic Tower, Suite A7d, Los Angeles, CA 90033-1029 2019-03-18
1487134417 Patrick Lee Case Manager/Care Coordinator 460 Briarwood Dr Ste 510, Jackson, MS 39206-3057 2018-08-20

Office Location

Street Address 13420 NEWPORT AVE
SUITE G
City TUSTIN
State CA
Zip Code 92780-3745

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730624735 Noha Nour Dds Inc Dentist 13420 Newport Ave, Suite A, Tustin, CA 92780-3745 2016-12-29
1619240637 Patrick K. Lee, M.d., Inc. Dermatology 13420 Newport Ave, Suite G, Tustin, CA 92780-3745 2012-02-22
1962729269 Ronald Cotliar Md Inc Dermatology 13420 Newport Ave, Suite G, Tustin, CA 92780-3745 2010-04-26
1427218288 Newport Medical Care Family Medicine 13420 Newport Ave, Suite D, Tustin, CA 92780-3745 2008-06-13
1083803183 Shiva Roghani Dentist 13420 Newport Ave, Suite B, Tustin, CA 92780-3745 2007-10-15
1801099445 Robert Earl Dreibelbis General Practice 13420 Newport Ave, Suite # D, Tustin, CA 92780 2007-06-11
1598980344 John Richard Ennen Chiropractor 13420 Newport Ave, Ste.k, Tustin, CA 92780-3745 2007-04-16
1720157308 Masaharu Sasaki Chiropractor 13420 Newport Ave, Suite E, Tustin, CA 92780-3745 2006-11-07
1639255961 Ginnie I Chen Dentist 13420 Newport Ave, #l, Tustin, CA 92780 2006-10-30
1609960517 John Bruce Warner Dentist 13420 Newport Ave, Suite A, Tustin, CA 92780-3745 2006-10-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437780947 John Michael Michael Pharmacist 14481 Wildeve Ln, Tustin, CA 92780 2020-02-03
1609426881 Abigail Joy Maqsood Behavior Technician 290a S Prospect Ave, Tustin, CA 92780 2019-09-19
1255814711 Hyun Dong Lee Chiropractor 14591 Newport Ave Ste 106, Tustin, CA 92780 2018-09-11
1346733573 Elizabeth Kim Nguyen Dds Inc Clinic/Center 14521 Red Hill Ave, Tustin, CA 92780 2018-06-12
1255829503 Hw Physical Therapy Physical Therapist 250 El Camino Real Ste 100, Tustin, CA 92780 2018-04-23
1912494352 Gary Wayne Mcbeath Marriage & Family Therapist 17821 E 17th Street, Suite # 260, Tustin, CA 92780 2018-04-20
1104334598 Catherine Bogues Speech-Language Pathologist 661 West 1st Street, Suite E, Tustin, CA 92780 2018-01-19
1972019941 Lighthouse Behavioral Solutions Behavioral Analyst 18002 Irvine Blvd., Suite 202c, Tustin, CA 92780 2017-12-28
1629597299 Lifecab, LLC Non-emergency Medical Transport (VAN) 13732 Newport Ave, Suite #1, Tustin, CA 92780 2017-09-14
1437606555 Tustin Speech Therapy, Inc. Speech-Language Pathologist 661 West First Street, Suite E, Tustin, CA 92780 2016-09-07
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Taxonomy Information

Taxonomy Code 207ND0101X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization MOHS-Micrographic Surgery

Taxonomy Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578173936 Mill Valley Dermatology, Inc Dermatology 655 Redwood Hwy Frontage Rd Ste 100, Mill Valley, CA 94941-3031 2020-07-31
1710508874 Zhe Hou, M.d., Ph.d., A Professional Corporation Dermatology 3000 E Imperial Hwy Ste 150, Brea, CA 92821-6782 2020-04-29
1073152112 Agape Dermatology PC Dermatology 18800 Main St Ste 111, Huntington Beach, CA 92648-1717 2020-01-06
1497392492 Pacifica Dermatology Dermatology 2460 N Ponderosa Dr Ste A117, Camarillo, CA 93010-2468 2019-12-09
1518447689 Razieh Soltani Arabshahi Md Inc Dermatology 960 E Green St Ste 330, Pasadena, CA 91106-2401 2018-08-18
1811497928 Laca Dermatology, Inc Dermatology 4955 Van Nuys Blvd Ste 516, Sherman Oaks, CA 91403-1832 2018-02-15
1427509959 Northern California Medical Assoc Inc Dermatology 555 S Dora St Ste B, Ukiah, CA 95482-5424 2016-10-19
1376091553 Integrated Dermatology of Mission Viejo, Apmc Dermatology 26691 Plaza Ste 230, Mission Viejo, CA 92691-6300 2016-09-15
1164835518 Laila Elkeeb, M.d., Inc Dermatology 242 Wicker, Irvine, CA 92618-1170 2014-06-03
1518303924 Christine Shaver Dermatology 1301 20th St Ste 570, Santa Monica, CA 90404-2118 2013-05-13
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Competitor

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City TUSTIN
Zip Code 92780

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Dataset Information

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.

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