KIMBERLY ANTONETTE LEE FNP-C; PMHNP-BC
NPI 1588162002
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA

Active since January 30, 2018
10511 S WESTERN AVE, LOS ANGELES, CA 90047(424) 789-4919(323) 305-3405 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 11, 2023, Apr 28, 2021, Mar 17, 2018 (3 updates tracked since 2018).

About Kimberly Antonette Lee Fnp-c; Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY ANTONETTE LEE FNP-C; PMHNP-BC (NPI 1588162002) is an individual psychiatric/mental health provider in Los Angeles, California, licensed in California (95007992) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1588162002
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKIMBERLY ANTONETTE LEECredential: FNP-C; PMHNP-BC
Location Address10511 S WESTERN AVELos Angeles, CA 90047-4458
Mailing Address2851 W 120th St Ste E242Hawthorne, CA 90250-3395 · (424) 223-0421 · Fax (323) 305-3402
Fax(323) 305-3405
Sole ProprietorNo
Enumeration DateJanuary 30, 2018
Last NPPES UpdateJanuary 11, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2023
NPI 1588162002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in CA · 95007992
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 95007992 (CA)
10511 S WESTERN AVE, Los Angeles, CA 90047

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
10511 S WESTERN AVE
LOS ANGELES, CA 90047

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Lee's NPI number?

The NPI number for Kimberly Lee is 1588162002. It was assigned to this individual provider in the NPPES registry on January 30, 2018.

Where is Kimberly Lee located?

Kimberly Lee practices at 10511 S Western Ave, Los Angeles, CA 90047. The listed phone number is (424) 789-4919.

What is Kimberly Lee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Kimberly Lee was last updated on January 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.