YOUNG SOO LEE (NPI# 1710986260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710986260 |
| Entity Type | Individual |
| Full Name | YOUNG SOO LEE |
| Credential | M.D. |
| Practice Address |
2151 N Harbor Blvd Ste 1500 Fullerton CA 92835-3823 |
| Mailing Address |
Po Box 513969 Los Angeles CA 90051-3969 |
| Practice Telephone | 7144465632 |
| Practice Fax Number | 7149923081 |
| Mailing Telephone | 3103354065 |
| Mailing Fax Number | 3103354098 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2015-06-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
G63908 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G639080 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073980744 | Young Soo Lee | Internal Medicine | 211 E 13th St, 4e, New York, NY 10003-5691 | 2015-08-28 |
| 1881060358 | Young Lee | Student in an Organized Health Care Education/Training Program | 1809 38th Ave, San Francisco, CA 94122-4147 | 2015-08-19 |
| 1881081206 | Young Lee | Acupuncturist | 525 N Adams St, #211, Glendale, CA 91206-3495 | 2015-04-23 |
| 1609287556 | Young Lee | Pharmacist | 4830 San Juan Ave, Fair Oaks, CA 95628-4719 | 2014-05-14 |
| 1093156465 | Young Lee | Psychologist | 408 S Curtis Ave, Apt #7, Alhambra, CA 91803-1722 | 2013-07-12 |
| 1831431907 | Young B Lee | Obstetrics & Gynecology | 450 Homans Ave, Closter, NJ 07624-2945 | 2013-03-26 |
| 1134412539 | Young Ho Lee | Acupuncturist | 530 Broad St., 2nd Fl., Carlstadt, NJ 07072 | 2011-05-18 |
| 1609195825 | Young Seo Lee | Acupuncturist | 9062 Chevrolet Dr, Ellicott City, MD 21042-4018 | 2010-05-27 |
| 1649599812 | Young Mee Lee | Pharmacist | 36 Remington Ln, Aliso Viejo, CA 92656-8054 | 2010-05-26 |
| 1992974778 | Young Seop Lee | Dentist | 15224 Main Street, Suite 301evergreen Family Dental, Mill Creek, WA 98012 | 2008-02-26 |
| Street Address |
2151 N HARBOR BLVD STE 1500 |
| City | FULLERTON |
| State | CA |
| Zip Code | 92835-3823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639185838 | Leonard A Farber | Radiology | 2151 N Harbor Blvd Ste 1500, Fullerton, CA 92835-3823 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774302 | Natalie Baugh | Nutritionist | 333 W Bastanchury Rd 110, Fullerton, CA 92835 | 2020-09-09 |
| 1073127098 | Cecile Mae Sam | Physical Therapist | 2932 Clover Ct, Fullerton, CA 92835 | 2020-09-08 |
| 1861966087 | Kimson F Johnston | Marriage & Family Therapist | 1370 Brea Blvd Suite 210, Fullerton, CA 92835 | 2019-01-22 |
| 1134636327 | Michelle Harriman, Psychologist - A Professional Corporation | Psychologist | 1440 N Harbor Blvd Ste 808, Fullerton, CA 92835 | 2018-01-09 |
| 1659818631 | Jacqueline Rene Miller | Specialist/Technologist | 2610 Associated Rd, Apt A4, Fullerton, CA 92835 | 2017-01-27 |
| 1912361106 | John Nathaniel Alvarez | Psychiatry & Neurology | 401 E Imperial Highway, Fullerton, CA 92835 | 2016-04-13 |
| 1083075030 | Advance Recovery Solution, LLC | Substance Abuse Rehabilitation Facility | 3744 N Hermosa Pl, Fullerton, CA 92835 | 2016-03-17 |
| 1467817981 | Michele Ledesma | Physical Therapy Assistant | 2800 N. Harbor Blvd., Fullerton, CA 92835 | 2015-12-29 |
| 1467820571 | Jonghan Kang | Acupuncturist | 1321 N Harbor Blvd Ste 205, Fullerton, CA 92835 | 2015-09-04 |
| 1265840987 | Allison Leigh Kennedy | Physician Assistant | 100 Laguna Rd Ste 208, Fullerton, CA 92835 | 2014-07-25 |
| Find all providers in zip 92835 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255594925 | Valley Radiotherapy Associates Medical Group Inc | Radiology | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 | 2008-07-03 |
| 1639185838 | Leonard A Farber | Radiology | 2151 N Harbor Blvd Ste 1500, Fullerton, CA 92835-3823 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154933034 | Andrew Lim | Radiology | 200 Medical Plaza Driveway Suite B265, Los Angeles, CA 90095-0001 | 2020-08-20 |
| 1083275200 | Centerpoint Radiation Oncology, Inc. | Radiology | 8929 Wilshire Blvd Ste 100, Beverly Hills, CA 90211-1950 | 2019-06-27 |
| 1922450840 | Cynthia Bajada Chasan | Radiology | 7401 Vista Del Mar Ave, La Jolla, CA 92037-4954 | 2016-07-02 |
| 1871906396 | Sammy Mohamed Ashouri | Radiology | 300 Pasteur Dr Rm H1330, Stanford, CA 94305 | 2014-06-03 |
| 1235540469 | Julian C Hong | Radiology | 1825 4th St Rm M2260, San Francisco, CA 94143-2350 | 2014-05-09 |
| 1295155422 | Rishabh Chaudhari | Radiology | 880 E Tuolumne Rd Ste 101, Turlock, CA 95382-1549 | 2014-04-28 |
| 1407278211 | Vincent S. T. Cheng | Radiology | 6022 W Sweet Dr, Visalia, CA 93291-8924 | 2014-01-13 |
| 1487085221 | Peter Allison Austin | Radiology | 1655 Aspen Grove Ln, Diamond Bar, CA 91765-2953 | 2013-12-04 |
| 1760820666 | Sandra Birdwell | Radiology | 1865 Camino De Los Robles, Menlo Park, CA 94025-5912 | 2013-06-13 |
| 1063859874 | John Vidyadhar Hegde | Radiology | Ucla Medical Center Department of Radiation, 200 Ucla Medical Center, Suite B265, Los Angeles, CA 90095-0001 | 2013-06-03 |
| Find all providers with the same taxonomy | ||||
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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.