JAESUNG LEE
NPI 1609072503
Specialist in Thousand Oaks, CA

NPI Status: Active since June 26, 2007

Contact Information

301 S MOORPARK RD
THOUSAND OAKS, CA
ZIP 91361
Phone: (805) 379-9646
Fax: (805) 379-0611

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  • Organization
  • Specialist

About JAESUNG LEE

This page provides the complete NPI Profile along with additional information for Jaesung Lee, a provider established in Thousand Oaks, California operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1609072503 assigned on June 2007. The practitioner's primary taxonomy code is 174400000X with license number G64716 (CA). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Jaesung Lee M.d. (Owner)

NPI
1609072503
Provider Name
JAESUNG LEE
Entity Type
Organization
Location Address
301 S MOORPARK RD THOUSAND OAKS, CA 91361
Location Phone
(805) 379-9646
Location Fax
(805) 379-0611
Mailing Address
301 S MOORPARK RD THOUSAND OAKS, CA 91361
Mailing Phone
(805) 379-9646
Mailing Fax
(805) 379-0611
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-26-2007
Last Update Date
08-27-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
G64716
License State
CA
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JAESUNG LEE M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(805) 379-9646

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
G64716OTHER (01)CALICENSE
G64716BMEDICARE PIN (08)CA 
G64716AMEDICARE PIN (08)CA 
F36189MEDICARE UPIN (02)CA 
G64716MEDICARE PIN (08)CA 

Reviews for JAESUNG LEE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1609072503
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
260907450
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 0 + 7 + 4 + 5 + 0 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1609072503 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 16 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093720419DR. GARY SCOTT VOORMAN M.D.
Individual
Otolaryngology301 S MOORPARK RD
THOUSAND OAKS, CA 91361
(805) 379-9646
1376550715DR. JAESUNG LEE M.D.
Individual
Otolaryngology301 S MOORPARK RD
THOUSAND OAKS, CA 91361
(805) 379-9646
1639186075DR. ABHAY MAKARAND VAIDYA M.D.
Individual
Otolaryngology301 S MOORPARK RD
THOUSAND OAKS, CA 91361
(805) 379-9646
1326174509DR. KELVIN LOH M.D.
Individual
Otolaryngology301 S MOORPARK RD
THOUSAND OAKS, CA 91361
(805) 379-9646
1801092796ABHAY VAIDYA, M.D.
Organization
Specialist301 S MOORPARK RD
THOUSAND OAKS, CA 91361
(805) 379-9646
1972709863G. SCOTT VOORMAN
Organization
Specialist301 S MOORPARK RD
THOUSAND OAKS, CA 91361
(805) 379-9646
1902002884MARTIN E. WAREHAM
Organization
Specialist301 S MOORPARK RD
THOUSAND OAKS, CA 91361
(805) 379-9646
1740487438TRICIA KHO, A MEDICAL CORPORATION
Organization
Specialist301 S MOORPARK RD
THOUSAND OAKS, CA 91361
(818) 379-9646
1548460330KELVIN LOH, MD. FACS.
Organization
Otolaryngology (Sleep Medicine)301 S MOORPARK RD
THOUSAND OAKS, CA 91361
(805) 379-9646
1063710853BRYAN KEROPIAN DDS. A PROFESSIONAL CORPORATION
Organization
Dentist301 S MOORPARK RD
THOUSAND OAKS, CA 91361
(818) 881-7233
1164433132 EMILY TERESA DARCHANGELO AU.D.
Individual
Audiologist301 S MOORPARK RD
THOUSAND OAKS, CA 91361
(805) 379-0824
1881626661 SOOCHUEN TRICIA KHO M.D.
Individual
Otolaryngology301 S MOORPARK RD
THOUSAND OAKS, CA 91361
(805) 379-9646
1568017234DR. STEVEN ZURAWSKI AUD
Individual
Audiologist301 S MOORPARK RD
THOUSAND OAKS, CA 91361
(805) 379-0824
1750806998DR. LYDIA ANNE HEAYS AUD
Individual
Audiologist301 S MOORPARK RD
THOUSAND OAKS, CA 91361
(805) 379-0824
1477374601DR. MAKENA GRAY AUD
Individual
Audiologist301 S MOORPARK RD
THOUSAND OAKS, CA 91361
(805) 379-0824
1396567897 TAYLOR HOLT AUD
Individual
Audiologist301 S MOORPARK RD
THOUSAND OAKS, CA 91361
(805) 379-0824

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609072503, enumerated in the NPI registry as an "organization" on June 26, 2007

The provider is located at 301 S Moorpark Rd Thousand Oaks, Ca 91361 and the phone number is (805) 379-9646

This medical organization specializes in Specialist with taxonomy code 174400000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 26, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.