Active NPI
So-Jin Lee, M.D.
- Family Medicine Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A102301
- Practice address
- 4950 W Sunset Blvd
Scpmg Lamc Family Medicine 4TH Floor
Los Angeles, CA 90027-5822 - Phone
- (800) 954-8000
- NPI assigned
- Jan 9, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A102301 | CA | Primary |
Addresses
Primary practice location
4950 W Sunset Blvd
Scpmg Lamc Family Medicine 4TH Floor
Los Angeles, CA 90027-5822
Mailing address
5927 Gregory Ave Apt 10
Los Angeles, CA 90038-3877
Phone (323) 461-1215
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
888 S King St
Honolulu, HI 96813-3097
Phone (808) 522-4000
Hospital & facility affiliations
- Straub Clinic and Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.72 of 100
- Quality
- 67.55
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Straub Clinic & Hospital | Current | Accepting new patients | |
| Straub Clinic & Hospital | Current | Accepting new patients | |
| Straub Clinic & Hospital | Past | Accepting new patients |
Locations
888 S King St
Honolulu, HI 96813
Phone (808) 522-4000
1001 Queen St
Ste 102
Honolulu, HI 96814
Phone (808) 462-5200
1946 Young St
Ste 320
Honolulu, HI 96826
91-5431 Kapolei Pkwy
Ste 1706
Kapolei, HI 96707
Phone (808) 426-9300
Networks
- devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335
Interoperability endpoints
- so-jin.lee.1@19917.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1457306508
-
- Community/Retail Pharmacy
- Honolulu, HI
- NPI 1295443216
-
- Durable Medical Equipment & Medical Supplies
- Honolulu, HI
- NPI 1851443733
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1720031701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199836800000",
"number": "1215112115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5927 GREGORY AVE APT 10",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900383877",
"telephone_number": "323-461-1215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4950 W SUNSET BLVD",
"address_2": "SCPMG LAMC FAMILY MEDICINE 4TH FLOOR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900275822",
"telephone_number": "800-954-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SO-JIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-09",
"last_updated": "2008-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A102301",
"primary": true
}
],
"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 Jan 9, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.