Active NPI
Sunah Lee
- Pediatrics Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- T5959
- Practice address
- 4650 W Sunset Blvd
Los Angeles, CA 90027-6062 - Phone
- (312) 942-7100
- NPI assigned
- Mar 9, 2019
- Last updated
- May 2, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | T5959 | TX | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
4650 W Sunset Blvd
Los Angeles, CA 90027-6062
Mailing address
1400 N Edgemont St Apt 205
Los Angeles, CA 90027-5948
Phone (847) 406-9032
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T5959 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Community Health Services, Inc | Current | Accepting new patients | |
| Legacy Community Health Services, Inc | Pediatrics | Current | Accepting new patients |
| Legacy Community Health Services, Inc | Past | Accepting new patients | |
| Memorial Hermann Health System | Past | Accepting new patients |
Locations
3030 North St
Ste 500
Beaumont, TX 77702
Phone (409) 212-1533
10021 Main St
Ste B3
Houston, TX 77025
Phone (713) 668-1166
12667 Bissonnet St
Houston, TX 77099
Phone (281) 498-6100
5420 Dashwood Dr
Ste 100
Houston, TX 77081
Phone (713) 486-2900
5616 Lawndale St
Ste A108
Houston, TX 77023
Phone (713) 759-0912
6441 High Star Dr
Houston, TX 77074
Phone (832) 548-5300
6500 Rookin St
#200
Houston, TX 77074
Phone (713) 351-7350
6500 Rookin St
Ste 200
Houston, TX 77074
Phone (713) 351-7350
14030 Florence Rd
Sugar Land, TX 77498
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Houston, TX
- NPI 1679524961
Pediatrics
-
- Federally Qualified Health Center (FQHC)
- Pasadena, TX
- NPI 1609762889
-
- Federally Qualified Health Center (FQHC)
- Houston, TX
- NPI 1548909930
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651449600000",
"number": "1205394186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 N EDGEMONT ST APT 205",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900275948",
"telephone_number": "847-406-9032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 W SUNSET BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900276062",
"telephone_number": "312-942-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SUNAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-09",
"last_updated": "2022-05-02",
"certification_date": "2022-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "T5959",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.