Individual provider Active NPI

Sunah Lee

  • Pediatrics Physician
  • Los Angeles, CA
National Provider Identifier
1205394186
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
T5959 Issued in TX
Practice address
4650 W Sunset Blvd
Los Angeles, CA 90027-6062
Phone
(312) 942-7100
NPI assigned
Mar 9, 2019
Last updated
May 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250603001223 TX Practitioner - Pediatric Medicine 5698284537 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
T5959TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Community Health Services, Inc CurrentSince May 23, 2025 Accepting new patients
Legacy Community Health Services, Inc Pediatrics CurrentSince May 23, 2025 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.

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

Verify at the official NPI Registry.