Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Bonnie Anne Lee, MD

Individual provider Dermatology Physician · NPI 1417164492

Dr. Bonnie Anne Lee, MD is a Dermatology in Orange, California. Qualified in 2005, 21 years ago. Practices with Regents of the University of California, a 39-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and New York.

Years since qualifying
21
Licensed in
CA, NY
In the registry since
2007
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

101 The City Dr S
Orange, CA 92868-3201
Phone: (714) 456-7002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Midland Ave, Port Chester, NY 10573-4943 — (914) 934-5800

Specialties & licences

Dermatopathology Physician (primary) Taxonomy 207ND0900X · Licence A111736 (CA)
Dermatology Physician Taxonomy 207N00000X · Licence 256888 (NY)
Dermatology Physician Taxonomy 207N00000X · Licence A111736 (CA)
Dermatopathology Physician Taxonomy 207ND0900X · Licence 256888 (NY)

Record details

NPI number1417164492
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 17, 2007
Last updated in NPPESMarch 7, 2023
Certification dateMarch 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Regents Of The University Of California — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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