Healthcare Provider Details

I. General information

NPI: 1265200521
Provider Name (Legal Business Name): ESTHER H.J. LEE NP, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2023
Last Update Date: 02/03/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 PINE AVE STE 609
LONG BEACH CA
90802-2310
US

IV. Provider business mailing address

320 PINE AVE STE 609
LONG BEACH CA
90802-2310
US

V. Phone/Fax

Practice location:
  • Phone: 310-571-5041
  • Fax:
Mailing address:
  • Phone: 310-571-5041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95027311
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: