NICHOLAS S.C. LEE M.D. INC (NPI# 1689939977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689939977 |
| Entity Type | Organization |
| Organization Name | NICHOLAS S.C. LEE M.D. INC |
| Practice Address |
1760 Termino Ave Suite 200 Long Beach CA 90804 |
| Practice Telephone | 5625970376 |
| Practice Fax Number | 5629863870 |
| Mailing Telephone | 5625970376 |
| Mailing Fax Number | 5629863870 |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2012-07-12 |
| Authorized Official Name | NICHOLAS S.C. LEE (PRESIDENT) |
| Authorized Official Telephone | 5625970376 |
| Authorized Official Credential | MD. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 00A323780 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1760 TERMINO AVE SUITE 200 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114927860 | Long Beach Advanced Orthopedic Medical Center Inc | Orthopaedic Surgery | 1760 Termino Ave, 208, Long Beach, CA 90804-2105 | 2005-07-22 |
| 1245729268 | Alejandro Estrada | Nurse Practitioner | 1760 Termino Ave, Long Beach, CA 90804-2105 | 2018-05-04 |
| 1497297154 | Tommy Jackson | Specialist/Technologist, Other | 1760 Termino Ave, 208, Long Beach, CA 90804-2105 | 2016-11-12 |
| 1184025553 | Mario San Bartolome, Md, Mba, A Professional Corporation | Specialist | 1760 Termino Ave, Suite 223, Long Beach, CA 90804-2105 | 2014-09-04 |
| 1053721878 | Miller Children's Hospital | General Acute Care Hospital | 1760 Termino Ave, Long Beach, CA 90804-2105 | 2014-05-01 |
| 1568717221 | Misha Max Heller | Dermatology | 1760 Termino Ave, Suite #114, Long Beach, CA 90804-2105 | 2012-07-19 |
| 1053686675 | Richard L Bell Dpm Inc | Podiatrist | 1760 Termino Ave, 309, Long Beach, CA 90804-2105 | 2012-03-14 |
| 1871881458 | Amy Katherine Williams | Orthopaedic Surgery | 1760 Termino Ave, Suite 308, Long Beach, CA 90804-2105 | 2011-07-15 |
| 1801194873 | Leon L Chen | Pediatrics | 1760 Termino Ave, Suite 300, Long Beach, CA 90804-2105 | 2011-03-01 |
| 1831332865 | Childrens Gastroenterology Mcsg | Pediatrics | 1760 Termino Ave, Suite 300, Long Beach, CA 90804-2105 | 2009-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616673 | Exporter Medical LLC | Durable Medical Equipment & Medical Supplies | 2990 E. Pacific Coast Hwy., Suite B, Long Beach, CA 90804 | 2020-07-08 |
| 1700436094 | Magdalema Ballesteros-reynolds | Technician | 844 Ohio Ave, Long Beach, CA 90804 | 2019-09-18 |
| 1093365447 | Edelmira D Sanchez | Technician | 837 Bennett Ave, Long Beach, CA 90804 | 2019-09-18 |
| 1164980165 | Carlton Fortenberry | Behavior Technician | 775 Obispo Ave., Unit 1, Long Beach, CA 90804 | 2019-03-08 |
| 1427522812 | Western Dental Services, Inc. | Dentist | 2306 E 7th Street, Long Beach, CA 90804 | 2019-01-18 |
| 1124557657 | Keav Siv Khov | Social Worker | 4510 East Pacific Coast Highway, Suite 600, Long Beach, CA 90804 | 2017-06-08 |
| 1265966576 | Kensie Hoag | Social Worker | 4510 E PCh, Suite 305, Long Beach, CA 90804 | 2017-04-13 |
| 1528424389 | Rem Pacific Sleep Center, Inc. | Specialist/Technologist | 2990 E. Pacific Coast Hwy, Suite A, Long Beach, CA 90804 | 2016-01-10 |
| 1417326935 | Kelli Ann Carlson | Student in an Organized Health Care Education/Training Program | 2025 E. 7th Street, Long Beach, CA 90804 | 2015-09-15 |
| 1487059010 | Kenenth K. Lee, D.d.s., Inc. | Preferred Provider Organization | 4755 E. Anaheim St., Long Beach, CA 90804 | 2014-10-24 |
| Find all providers in zip 90804 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083856975 | Laura Sech Mccracken | Obstetrics & Gynecology | 1347 Park Ave, Long Beach, CA 90804-3127 | 2009-03-24 |
| 1508049834 | Kenneth Nmn Farhang | Obstetrics & Gynecology | 831 Hillside Dr., Long Beach, CA 90815-4716 | 2007-12-10 |
| 1508045956 | Carsten S. Ronlov, M.d. Inc. | Obstetrics & Gynecology | 3325 Palo Verde Ave Ste 202, Long Beach, CA 90808-4132 | 2007-11-01 |
| 1942342001 | Stanley Spencer Olenick | Obstetrics & Gynecology | 790 East Willow St, Suite 100, Long Beach, CA 90806-2703 | 2007-02-13 |
| 1306985445 | Essam Taymour | Obstetrics & Gynecology | 3550 Linden Ave Ste 1, Long Beach, CA 90807-4577 | 2007-02-05 |
| 1528104437 | Clifford A Hancock | Obstetrics & Gynecology | 2790 Atlantic Ave, Long Beach, CA 90806-2755 | 2007-01-29 |
| 1467544734 | Ruben Marmet | Obstetrics & Gynecology | 2777 Long Beach Blvd Ste 200, Long Beach, CA 90806-1513 | 2006-09-28 |
| 1568553188 | Soon Sohn | Obstetrics & Gynecology | 3050 E Airport Way, Long Beach, CA 90806-2404 | 2006-09-27 |
| 1376640086 | Magella Medical Group, Inc. | Obstetrics & Gynecology | 2888 Long Beach Blvd Ste 400, Long Beach, CA 90806-1553 | 2006-09-17 |
| 1780793604 | Neeraj Goswamy | Obstetrics & Gynecology | 111 Mitchell Ave, Long Beach, NY 11561-3819 | 2006-08-30 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90804 |
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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.