Soojin Lee

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95013005 Issued in CA

Practice address

1400 N Harbor Blvd Ste 103
Fullerton, CA 92835-4107

Phone

(213) 422-0306

NPI assigned

Dec 24, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1376351155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12238 STARLING LN",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021077",
            "telephone_number": "213-422-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N HARBOR BLVD STE 103",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354107",
            "telephone_number": "213-422-0306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12238 Starling Ln",
            "address_purpose": "LOCATION",
            "city": "Whittier",
            "state": "CA",
            "postal_code": "906021077",
            "country_code": "US",
            "telephone_number": "213-422-0306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "SOOJIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-24",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95013005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sejin Lee
• Seo Young Lee, NP
• Shin-Yu Lee
• Shirley Lee, DDS
• Soo Mi Lee, O. D.
• Sun Wha Lee, LAC
• Sun Woo Lee
• Sung Hoon Lee, D.D.S.
• Tiffany Lee
• Wonhee Lee, LAC.MS.

• Family Nurse Practitioner in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.