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Export Provider Record NPI 1164451753
Daniel Wonil LeeMD
Active
NPI Number1164451753
NPI TypeNPI-1 Individual
SpecialtyRadiology, Diagnostic Radiology
Provider Details
NPI1164451753
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-07-03
Last Updated2020-08-12
Mailing Address111 Founders Plaza, Suite 400
East Hartford, CT 06108
United States
Phone: (860) 289-3375
📍 View Map
Primary Practice Address501 S Buena Vista St
Burbank, CA 91505-4809
United States
Phone: (818) 847-6049 | Fax: (818) 847-4842
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDCA00A688370
Other (non-Medicare)DCP00616353Railroad Medicare
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes2085R0202X – Radiology, Diagnostic RadiologyCAA68837
No2085N0700XDCMD036942
No2085N0700XVA0101257982
No2085N0700XMA265600
No2085N0700XMDD0077237
No2085N0700XTXP1560
No2085N0700XCT054764
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About NPI 1164451753

Daniel Wonil Lee MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1164451753. The primary specialty listed is Radiology, Diagnostic Radiology. The provider is located in Burbank, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-07-03. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1164451753?

NPI 1164451753 belongs to Daniel Wonil Lee MD, a Radiology, Diagnostic Radiology in Burbank, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1164451753 active?

The current status of NPI 1164451753 in the NPPES registry is Active. The record was last updated on 2020-08-12.

What specialty is NPI 1164451753?

NPI 1164451753 is classified under the taxonomy Radiology, Diagnostic Radiology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1164451753?

You can verify NPI 1164451753 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1164451753?

The primary practice address on file for NPI 1164451753 is 501 S Buena Vista St, Burbank, CA 91505-4809. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1164451753 issued?

NPI 1164451753 was first issued (enumerated) on 2006-07-03. The NPPES record was last updated on 2020-08-12.

Practice Location Map

Daniel Wonil Lee is located at 501 S Buena Vista St, Burbank, CA. Use the map below to find directions or verify the practice location.

📍 501 S Buena Vista St, Burbank, CA 91505-4809  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Daniel Wonil Lee. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1164451753. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Radiology, Diagnostic RadiologyA68837CA
2085N0700XMD036942DC
2085N0700X0101257982VA
2085N0700X265600MA
2085N0700XD0077237MD
2085N0700XP1560TX
2085N0700X054764CT
Data Verified from CMS NPPES Last synced: 2026-07-08 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162